Provider Demographics
NPI:1861948416
Name:LOVING INCARE AGENCY
Entity type:Organization
Organization Name:LOVING INCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:FULMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-356-2221
Mailing Address - Street 1:2117 WEST PALMETTO ST. STE D
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501
Mailing Address - Country:US
Mailing Address - Phone:846-356-2221
Mailing Address - Fax:
Practice Address - Street 1:930 S RON MCNAIR BLVD
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:SC
Practice Address - Zip Code:29560-3831
Practice Address - Country:US
Practice Address - Phone:843-356-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care