Provider Demographics
NPI:1922371871
Name:LOVING ARMS
Entity Type:Organization
Organization Name:LOVING ARMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:COONROD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-704-0484
Mailing Address - Street 1:118 LEE PARKWAY DR STE 420
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-0814
Mailing Address - Country:US
Mailing Address - Phone:423-704-0484
Mailing Address - Fax:
Practice Address - Street 1:118 LEE PARKWAY DR STE 420
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-0814
Practice Address - Country:US
Practice Address - Phone:423-704-0484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care