Provider Demographics
NPI:1497322176
Name:LOVING HANDS ADULT CARE INC
Entity Type:Organization
Organization Name:LOVING HANDS ADULT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARVENNA
Authorized Official - Last Name:REVELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-237-1575
Mailing Address - Street 1:2001 ROUNDELAY RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2034
Mailing Address - Country:US
Mailing Address - Phone:434-237-1575
Mailing Address - Fax:
Practice Address - Street 1:2001 ROUNDELAY RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2034
Practice Address - Country:US
Practice Address - Phone:434-237-1575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities