MEDICARE: LOVING ARMS

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1922371871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING ARMS

Provider Business Mailing Address
First Line	:	118 LEE PARKWAY DR STE 420
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-0814
Country	:	US
Telephone Number	:	423-704-0484
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 LEE PARKWAY DR STE 420
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-0814
Country	:	US
Telephone Number	:	423-704-0484
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	SHANICE COONROD
Credential	:
Telephone Number	:	423-704-0484

Provider Enumeration Date	:	02/22/2012
Last Update Date	:	02/22/2012

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Directions to “LOVING ARMS ” Practice Location

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