Provider Demographics
NPI:1922575224
Name:LUVLEE'S RESIDENTIAL CARE, INC.
Entity Type:Organization
Organization Name:LUVLEE'S RESIDENTIAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-594-2762
Mailing Address - Street 1:PO BOX 2232
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91788-2232
Mailing Address - Country:US
Mailing Address - Phone:909-594-2762
Mailing Address - Fax:909-594-2922
Practice Address - Street 1:20723 WALNUT VALLEY DR
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-1024
Practice Address - Country:US
Practice Address - Phone:909-594-2762
Practice Address - Fax:909-594-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children