Organization
LOVING AT HOME PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ADAMS (MANAGER)
(757) 998-0635
Entity
Organization
Contact information
Practice address
707 GITTINGS STREET, STE 170, SUFFOLK, VA 23434
(757) 998-0635
(757) 923-4438
Mailing address
707 GITTINGS STREET, STE 170, SUFFOLK, VA 23434
(757) 998-0635
(757) 923-4438
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
T1019
VA
385H00000X
Respite Care
T1005
VA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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