Organization
LOVING HOUSE OF HEARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUEASHA TAMIKA HAYES (DIRECTOR)
(319) 541-0973
Entity
Organization
Contact information
Practice address
1129 WINCHESTER LANE, NORTH LIBERTY, IA 52317
(319) 541-0973
Mailing address
1129 WINCHESTER LANE, NORTH LIBERTY, IA 52317
(319) 541-0973
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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