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Organization

THE LOVING HOME, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DESMOND ONYE OKORIEOCHA (PRESIDENT)
(910) 485-4742
Entity
Organization

Contact information

Practice address
4944 MACEDONIA CHURCH RD, FAYETTEVILLE, NC 28312-5896
(910) 485-4742
Mailing address
4944 MACEDONIA CHURCH RD, FAYETTEVILLE, NC 28312-5896
(910) 485-4742

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408341
NC
01
7804953
ADULT CARE HOME FPR PCS
NC
01
8301278B
COMMUNITY SUPPORT SERVICE
NC
Enumeration date
12/30/2006
Last updated
08/22/2020
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