Organization
LOVELY TRAVELING NURSE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELPIDIO ILABAN (OWNER/PRESIDENT)
(540) 630-1298
Entity
Organization
Contact information
Practice address
100 HAVEN RIDGE RD, MADISON, AL 35758-9205
(540) 630-1298
Mailing address
100 HAVEN RIDGE RD, MADISON, AL 35758-9205
(540) 630-1298
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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