Provider Demographics
NPI:1659012730
Name:C&G LOVING CARE
Entity type:Organization
Organization Name:C&G LOVING CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:VALCIN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:954-756-5427
Mailing Address - Street 1:1268 N MILITARY TRL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6015
Mailing Address - Country:US
Mailing Address - Phone:561-290-7809
Mailing Address - Fax:888-849-9598
Practice Address - Street 1:1268 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6015
Practice Address - Country:US
Practice Address - Phone:561-290-7809
Practice Address - Fax:888-849-9598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty