Provider Demographics
NPI:1093106437
Name:LOVING YOU
Entity Type:Organization
Organization Name:LOVING YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:MARQURITA
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:WADDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-339-3642
Mailing Address - Street 1:124 PRESTON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-4568
Mailing Address - Country:US
Mailing Address - Phone:757-339-3642
Mailing Address - Fax:
Practice Address - Street 1:124 PRESTON AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-4568
Practice Address - Country:US
Practice Address - Phone:757-339-3642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health