# LOVING HANDS SUPPORTIVE LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023657301
- **Authorized official:** HUAN HILL (DIRECTOR)
- **Authorized official phone:** (505) 803-5664

## Contact information

- **Practice address:** 948 CAMINO DE LA TIERRA, CORRALES, NM 87048-6909
- **Practice address phone:** (505) 803-5664
- **Mailing address:** PO BOX 45623, RIO RANCHO, NM 87174-5623
- **Mailing address phone:** (505) 803-5664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2020
- **Last updated:** 01/03/2020