Provider Demographics
NPI: | 1932924800 |
---|---|
Name: | LOVING ARMS FAMILY SUPPORT, LLC |
Entity type: | Organization |
Organization Name: | LOVING ARMS FAMILY SUPPORT, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | TOSHA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HARRIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN CBS IBCLC |
Authorized Official - Phone: | 478-227-6884 |
Mailing Address - Street 1: | 1540 WATSON BLVD |
Mailing Address - Street 2: | |
Mailing Address - City: | WARNER ROBINS |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 31093-3432 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 478-227-6884 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1540 WATSON BLVD |
Practice Address - Street 2: | |
Practice Address - City: | WARNER ROBINS |
Practice Address - State: | GA |
Practice Address - Zip Code: | 31093-3432 |
Practice Address - Country: | US |
Practice Address - Phone: | 478-227-6884 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-11-18 |
Last Update Date: | 2024-11-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
No | 251J00000X | Agencies | Nursing Care | |
No | 253Z00000X | Agencies | In Home Supportive Care |