Organization
LOVING CARE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUITA SHONTE MCCRAE (OWNER)
(804) 689-0845
Entity
Organization
Contact information
Practice address
418 OLD KESWICK LN, SOUTH PRINCE GEORGE, VA 23805-7867
(804) 689-0845
Mailing address
418 OLD KESWICK LN, SOUTH PRINCE GEORGE, VA 23805-7867
(804) 689-0845
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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