# PROVIDELLE CARE LLC

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

## Provider details

- **NPI number:** 1043148968
- **Authorized official:** MR. AYODEJI ABOABA (MANAGER)
- **Authorized official phone:** (681) 285-9008

## Contact information

- **Practice address:** 17017 EASTBROOK DR, CELINA, TX 75009-2086
- **Practice address phone:** (681) 285-9008
- **Mailing address:** 17017 EASTBROOK DR, CELINA, TX 75009-2086
- **Mailing address phone:** (681) 285-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/11/2026
- **Last updated:** 05/13/2026