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NPI Code Detail

MEDICARE: A LOVING HEART YOUTH SERVICES INC

MEDICARE: A LOVING HEART YOUTH SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251E00000XHome Health Agency
3251S00000XCommunity/Behavioral Health Agency
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
5343900000XNon-emergency Medical Transport (VAN)
6385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
7251B00000XCase Management Agency

General Provider Information

NPI Number : 1184093155
Entity Type Code : Organization
Provider Name (Legal Business Name) : A LOVING HEART YOUTH SERVICES INC
Provider Business Mailing Address
First Line : 3559 STANFORD PL
Second Line :
City : DAYTON
State : OH
Zip : 45406-3641
Country : US
Telephone Number : 937-723-6893
Fax Number :
Provider Business Practice Location Address
First Line : 3559 STANFORD PL
Second Line :
City : DAYTON
State : OH
Zip : 45406-3641
Country : US
Telephone Number : 937-723-6893
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. DONIELL MURRAY
Credential :
Telephone Number : 937-723-6893
Provider Enumeration Date : 09/21/2015
Last Update Date : 07/02/2024

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Directions to “A LOVING HEART YOUTH SERVICES INC ” Practice Location

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