Provider Demographics
NPI:1306093430
Name:AM LOVING CARE
Entity type:Organization
Organization Name:AM LOVING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMIDE
Authorized Official - Middle Name:PHILOGENE
Authorized Official - Last Name:NECENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-856-5194
Mailing Address - Street 1:113 PORTER PLACE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409
Mailing Address - Country:US
Mailing Address - Phone:561-856-5194
Mailing Address - Fax:
Practice Address - Street 1:113 PORTER PL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3709
Practice Address - Country:US
Practice Address - Phone:561-856-5194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL090967385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child