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Organization
LOVING LIFE HOME CARE AGENCY INC
Active
Organization
LOVING LIFE HOME CARE AGENCY INC
Active
Other names
Loving Life Home Care Agency INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WALONDA ANDRELA OWENS (DIRECTOR)
(910) 977-4610
Entity
Organization
Contact information
Practice address
1811 FORT BRAGG RD, FAYETTEVILLE, NC 28303-6804
(910) 977-4610
(910) 339-0047
Mailing address
510 CANDLEBERRY CT, FAYETTEVILLE, NC 28301-7901
(910) 977-4610
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
302R00000X
Health Maintenance Organization
HC4740
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972990687
—
NC
Enumeration date
04/20/2015
Last updated
03/03/2022
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