Provider Demographics
NPI:1437609021
Name:LOVING HOME INC
Entity Type:Organization
Organization Name:LOVING HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DACIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-215-4824
Mailing Address - Street 1:142 MEADOWLARK DR
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2969
Mailing Address - Country:US
Mailing Address - Phone:561-215-4824
Mailing Address - Fax:
Practice Address - Street 1:142 MEADOWLARK DR
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2969
Practice Address - Country:US
Practice Address - Phone:561-215-4824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL639967Medicaid