Provider Demographics
NPI:1598029092
Name:IN LOVING ARMS, LLC
Entity Type:Organization
Organization Name:IN LOVING ARMS, LLC
Other - Org Name:IN LOVING ARMS HEALTHCARE FOR KIDS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENITA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:WILLIAMS THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:225-359-9777
Mailing Address - Street 1:PO BOX 52730
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70892-2730
Mailing Address - Country:US
Mailing Address - Phone:225-359-9777
Mailing Address - Fax:
Practice Address - Street 1:6637 N FOSTER DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70811-6164
Practice Address - Country:US
Practice Address - Phone:225-359-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care