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Organization

DEVOTEDLOVEHOMEANDSERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAQUEITA Q MORNING RN BSN FNP (NURSE PRACTITIONER)
(252) 916-6257
Entity
Organization

Contact information

Practice address
8829 US HIGHWAY 64, ROBERSONVILLE, NC 27871-9696
(252) 916-6257
Mailing address
P O BOX 1425, ROBERSONVILLE, NC 27871-9237
(252) 916-6257

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
310400000X
Assisted Living Facility
Primary
311ZA0620X
Adult Care Home Facility
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
385H00000X
Respite Care

Other

Enumeration date
04/15/2024
Last updated
04/15/2024
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