Organization
WITH LOVING CARE HOME HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONIQUE LADOSCA MOCK NURSING ASSISTANT (CLINICAL SPECIALIST)
13367936007
Entity
Organization
Contact information
Practice address
1065 SWAIM WOODS LN, WINSTON SALEM, NC 27107-5461
(336) 793-6007
Mailing address
1065 SWAIM WOODS LN, WINSTON SALEM, NC 27107-5461
(336) 793-6007
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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