IndividualActive
Lovlet Burke-Prince
NPI 1306016787 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bronx, NY
Provider details
- NPI number
- 1306016787
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 069789 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 069789 (NY)
Residential Treatment Facilities
Practice location
4763 Richardson Ave
Bronx, NY 10470
Phone: (718) 325-5273
Approximate (ZIP-level) locationGet directions
Mailing address
4763 Richardson Ave
Bronx, NY 10470
Registry dates
- Enumerated
- 2008-03-03
- Last updated
- 2008-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.