# THE LOVING HOME \#3

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

## Provider details

- **NPI number:** 1972935435
- **Authorized official:** DESMOND OKORIEOCHA MBA (PRESIDENT/CEO)
- **Authorized official phone:** (910) 624-0844

## Contact information

- **Practice address:** 4944 MACEDONIA CHURCH RD, FAYETTEVILLE, NC 28312-5896
- **Practice address phone:** (910) 485-4742
- **Practice address fax:** (910) 484-0629
- **Mailing address:** 3608 THORNDIKE DR, FAYETTEVILLE, NC 28311-0309
- **Mailing address phone:** (910) 488-4089
- **Mailing address fax:** (910) 484-0629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-026-882 | NC | Yes |

## Other

- **Enumeration date:** 08/06/2013
- **Last updated:** 08/06/2013