Organization
LOVING HEART ASSISTED LIVING
Active
Other names
Loving Heart Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
CORIE JOHNSON (CEO/ MEMBER)
(410) 772-4464
Entity
Organization
Contact information
Practice address
9301 MYRTLE AVENE, BOWIE, MD 20720-3202
(800) 548-5060
(301) 304-1908
Mailing address
1783 FOREST DR STE 106, ANNAPOLIS, MD 21401-4229
(410) 772-4464
(301) 304-1908
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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