Organization
LOVING HEARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORREETHA ANN IRBY (OWNER)
(614) 483-7263
Entity
Organization
Contact information
Practice address
2461 MELROSE AVE, COLUMBUS, OH 43211-1741
(614) 483-7263
Mailing address
2461 MELROSE AVE, COLUMBUS, OH 43211-1741
(614) 483-7263
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2549040
PROVIDER NUMBER
OH
Enumeration date
12/30/2020
Last updated
12/30/2020
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