Organization
WITH LOVING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA PETERSON (OWNER)
(331) 300-7969
Entity
Organization
Contact information
Practice address
2711 E NEW YORK ST STE 203, AURORA, IL 60502-9548
(331) 300-7969
Mailing address
951 NEW HAVEN AVE, AURORA, IL 60506-2745
(331) 300-7976
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
IL
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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