| NPI | 1861606501 |
|---|---|
| Other Name | LOVING AGE AFC LTC |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-05-14 |