Provider Demographics
NPI:1326498601
Name:A TENDER LOVE AND CARE INC
Entity Type:Organization
Organization Name:A TENDER LOVE AND CARE INC
Other - Org Name:FAMILY MATTERS COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HUZAIFA
Authorized Official - Middle Name:MOIZ
Authorized Official - Last Name:SABOOWALA
Authorized Official - Suffix:
Authorized Official - Credentials:BE
Authorized Official - Phone:951-662-3010
Mailing Address - Street 1:12968 FREDERICK ST STE D
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-5229
Mailing Address - Country:US
Mailing Address - Phone:951-242-7738
Mailing Address - Fax:951-242-7733
Practice Address - Street 1:12968 FREDERICK ST STE ABC&D
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-5229
Practice Address - Country:US
Practice Address - Phone:951-662-3010
Practice Address - Fax:951-242-7733
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A TENDER LOVE AND CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-16
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA336425454305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization