Organization
THE LOVING HOME,INC. #6
Active
Organization
THE LOVING HOME,INC. #6
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESMOND ONYE OKORIEOCH BS,MBA (PRESIDENT/CEO)
(910) 624-0844
Entity
Organization
Contact information
Practice address
1903 BRIDGER ST, FAYETTEVILLE, NC 28301-3913
(910) 884-3896
(910) 484-0629
Mailing address
1903 BRIDGER ST, FAYETTEVILLE, NC 28301-3913
(910) 884-3896
(910) 484-0629
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408341
—
NC
Enumeration date
10/17/2014
Last updated
10/17/2014
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