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NPI Code Detail

MEDICARE: LOVEADDZ LLC

MEDICARE: LOVEADDZ LLC
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
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1932965654
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVEADDZ LLC
Provider Business Mailing Address
First Line : 28442 CRISPIN DR
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92555-6032
Country : US
Telephone Number : 951-347-4394
Fax Number :
Provider Business Practice Location Address
First Line : 19716 SEASON GROVE DR
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-1565
Country : US
Telephone Number : 951-347-4394
Fax Number :
Authorized Official
Title or Position : CEO
Name : TIMOTHY WILLIAMS
Credential :
Telephone Number : 951-347-4394
Provider Enumeration Date : 02/21/2024
Last Update Date : 02/21/2024

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Directions to “LOVEADDZ LLC ” Practice Location

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