# LOVING CARE AGENCY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVEANNA HEALTHCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003106774
- **Authorized official:** VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING)
- **Authorized official phone:** (770) 248-8740

## Contact information

- **Practice address:** 111 E LUDWIG RD STE 109, FORT WAYNE, IN 46825-4240
- **Practice address phone:** (260) 969-0100
- **Practice address fax:** (260) 969-0101
- **Mailing address:** 400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
- **Mailing address phone:** (770) 248-8740
- **Mailing address fax:** (214) 466-1378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 10-0123950-1 | IN | Yes |

## Other

- **Enumeration date:** 04/14/2011
- **Last updated:** 02/08/2019