Provider Demographics
NPI:1063636017
Name:LOVING CARE SUPERVISED LIVING GROUP
Entity Type:Organization
Organization Name:LOVING CARE SUPERVISED LIVING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-937-1096
Mailing Address - Street 1:209 OVERTON DR
Mailing Address - Street 2:3041 ZEBULON PLACE
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-1748
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:252-937-2397
Practice Address - Street 1:209 OVERTON DR
Practice Address - Street 2:3041 ZEBULON PLACE
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-1748
Practice Address - Country:US
Practice Address - Phone:252-937-1096
Practice Address - Fax:252-937-2397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty