Provider Demographics
NPI:1992954077
Name:FOR THE LOVE OF LUCY INC
Entity type:Organization
Organization Name:FOR THE LOVE OF LUCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:WHITE
Authorized Official - Last Name:SLONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1606-791-2426
Mailing Address - Street 1:5255 HWY 160
Mailing Address - Street 2:SUITE A
Mailing Address - City:LITTCARR
Mailing Address - State:KY
Mailing Address - Zip Code:41834
Mailing Address - Country:US
Mailing Address - Phone:160-627-1242
Mailing Address - Fax:
Practice Address - Street 1:6 RABURN RD
Practice Address - Street 2:
Practice Address - City:HUEYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41640-6618
Practice Address - Country:US
Practice Address - Phone:169-679-1242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management