# LOVING IMAGE HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518235050
- **Authorized official:** MISS TYISIHA NICOLE THOMPSON (MEDICAL ASSISANT)
- **Authorized official phone:** (203) 613-4687

## Contact information

- **Practice address:** 971 HANCOCK AVE, BRIDGEPORT, CT 06605-1912
- **Practice address phone:** (203) 212-8417
- **Mailing address:** 971 HANCOCK AVE, BRIDGEPORT, CT 06605-1912
- **Mailing address phone:** (203) 212-8417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 12/13/2011