Individual ProviderLovelace DomprehRegistered NurseNursing Service ProvidersPractice Address1112 East 222nd Street, Bronx, NY 10469(646) 301-8569PECOS EnrollmentBased on the most recent information from CMS, provider Lovelace Dompreh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1588973754Provider TypeIndividualFull NameDompreh, LovelaceTitleMissCredentialRNGenderFemaleSole ProprietorNoEnumeration Date10/5/2010Last Updated10/5/2010Contact InformationPractice LocationPractice Address1112 East 222nd Street, Bronx, NY 10469Phone(646) 301-8569FaxUnlisted FaxMailing LocationMailing Address1112 E 222nd St, Bronx, NY 10469-2616Phone(646) 301-8569FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense22537285New York