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Organization
LOVING CARE AGENCY, INC.
Active
Organization
LOVING CARE AGENCY, INC.
Active
Other names
AVEANNA HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING)
(770) 248-8740
Entity
Organization
Contact information
Practice address
111 E LUDWIG RD STE 109, FORT WAYNE, IN 46825-4240
(260) 969-0100
(260) 969-0101
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(770) 248-8740
(214) 466-1378
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10-0123950-1
IN
Other
Enumeration date
04/14/2011
Last updated
02/08/2019
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