Provider Demographics
NPI:1942405758
Name:BRINGING LOVE BACK INTO THE COMMUNITY
Entity Type:Organization
Organization Name:BRINGING LOVE BACK INTO THE COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM.
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWIRCZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-240-1567
Mailing Address - Street 1:1730 GLACIER BLUE DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-9530
Mailing Address - Country:US
Mailing Address - Phone:713-240-1567
Mailing Address - Fax:
Practice Address - Street 1:1730 GLACIER BLUE DR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-9530
Practice Address - Country:US
Practice Address - Phone:713-240-1567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health