Provider Demographics
NPI:1538469853
Name:LOVING CARE III, LLC
Entity Type:Organization
Organization Name:LOVING CARE III, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER/CARE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TEMEKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-670-2039
Mailing Address - Street 1:11 SALVATORE DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5898
Mailing Address - Country:US
Mailing Address - Phone:732-670-2039
Mailing Address - Fax:
Practice Address - Street 1:395 MAIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-2774
Practice Address - Country:US
Practice Address - Phone:973-678-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty