Provider Demographics
NPI:1588418834
Name:DEVOTEDLOVEHOMEANDSERVICES
Entity type:Organization
Organization Name:DEVOTEDLOVEHOMEANDSERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LAQUEITA
Authorized Official - Middle Name:Q
Authorized Official - Last Name:MORNING
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN FNP
Authorized Official - Phone:252-916-6257
Mailing Address - Street 1:P O BOX 1425
Mailing Address - Street 2:
Mailing Address - City:ROBERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27871-9237
Mailing Address - Country:US
Mailing Address - Phone:252-916-6257
Mailing Address - Fax:
Practice Address - Street 1:8829 US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:ROBERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:27871-9696
Practice Address - Country:US
Practice Address - Phone:252-916-6257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care
No174200000XOther Service ProvidersMeals
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health