Provider Demographics
NPI:1356643092
Name:DAVID-LAUREN, INC.
Entity Type:Organization
Organization Name:DAVID-LAUREN, INC.
Other - Org Name:LOVING CARE HOME ASSISTANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEONORE
Authorized Official - Middle Name:GONZALES
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-484-5688
Mailing Address - Street 1:14616 MEADOWRUN ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3354
Mailing Address - Country:US
Mailing Address - Phone:858-484-5688
Mailing Address - Fax:858-484-5688
Practice Address - Street 1:9989 PASEO MONTRIL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-3914
Practice Address - Country:US
Practice Address - Phone:858-484-5688
Practice Address - Fax:858-484-5688
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVID-LAUREN, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-01
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No305S00000XManaged Care OrganizationsPoint of Service
No347C00000XTransportation ServicesPrivate Vehicle