Provider Demographics
NPI:1821440397
Name:RJC LOVING CARE, LLC
Entity Type:Organization
Organization Name:RJC LOVING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEDOYIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS; MBA
Authorized Official - Phone:301-645-7615
Mailing Address - Street 1:2331 SEQUOIA GROVE ST
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-2687
Mailing Address - Country:US
Mailing Address - Phone:301-645-7615
Mailing Address - Fax:
Practice Address - Street 1:2331 SEQUOIA GROVE ST
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-2687
Practice Address - Country:US
Practice Address - Phone:301-645-7615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health