Provider Demographics
NPI:1700196524
Name:LOVING LIVING HOME HEALTH CARE AND COMPANIONSHIP
Entity Type:Organization
Organization Name:LOVING LIVING HOME HEALTH CARE AND COMPANIONSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SWIDERSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DBA
Authorized Official - Phone:315-725-2828
Mailing Address - Street 1:6012 STATE ROUTE 5
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:13476-4029
Mailing Address - Country:US
Mailing Address - Phone:315-725-2828
Mailing Address - Fax:
Practice Address - Street 1:6012 STATE ROUTE 5
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:NY
Practice Address - Zip Code:13476
Practice Address - Country:US
Practice Address - Phone:315-725-2828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health