Provider Demographics
NPI:1477839249
Name:LOVIN TOUCH PROFESSIONAL CARE SERVICES
Entity Type:Organization
Organization Name:LOVIN TOUCH PROFESSIONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GANT
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:504-304-9283
Mailing Address - Street 1:2001 FRANCKE PL
Mailing Address - Street 2:
Mailing Address - City:VIOLET
Mailing Address - State:LA
Mailing Address - Zip Code:70092-3201
Mailing Address - Country:US
Mailing Address - Phone:504-304-9283
Mailing Address - Fax:504-304-9289
Practice Address - Street 1:3101 JEAN LAFITTE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-4037
Practice Address - Country:US
Practice Address - Phone:504-304-9283
Practice Address - Fax:504-304-9289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2160354251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2160354Medicaid