Provider Demographics
NPI:1093382061
Name:THE LOVE FACTOR, INC.
Entity Type:Organization
Organization Name:THE LOVE FACTOR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:W
Authorized Official - Last Name:RECKINGER-ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CPC
Authorized Official - Phone:208-329-7676
Mailing Address - Street 1:1121 E MULLAN AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4054
Mailing Address - Country:US
Mailing Address - Phone:208-329-7676
Mailing Address - Fax:208-329-7677
Practice Address - Street 1:1121 E MULLAN AVE FL 2
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4054
Practice Address - Country:US
Practice Address - Phone:208-329-7676
Practice Address - Fax:208-329-7677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution