Provider Demographics
NPI:1376821223
Name:LOVING CARE DAYCARE
Entity Type:Organization
Organization Name:LOVING CARE DAYCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNE
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:662-719-3605
Mailing Address - Street 1:107 E FLOYCE ST
Mailing Address - Street 2:
Mailing Address - City:RULEVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38771-3915
Mailing Address - Country:US
Mailing Address - Phone:662-719-3605
Mailing Address - Fax:662-756-9979
Practice Address - Street 1:107 E FLOYCE ST
Practice Address - Street 2:
Practice Address - City:RULEVILLE
Practice Address - State:MS
Practice Address - Zip Code:38771-3915
Practice Address - Country:US
Practice Address - Phone:662-719-3605
Practice Address - Fax:662-756-9979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care