# JCK LOVE HOME CARE LLC

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

## Provider details

- **NPI number:** 1245126499
- **Authorized official:** MAOMBI JOSELYNE KUDERHA (MANAGER)
- **Authorized official phone:** (682) 217-7115

## Contact information

- **Practice address:** 3332 CADENCE LN, APT 2221, ROANOKE, TX 76262-2407
- **Practice address phone:** (682) 217-7115
- **Mailing address:** 3332 CADENCE LN APT 2221, ROANOKE, TX 76262-2407
- **Mailing address phone:** (682) 217-7115

## Taxonomy

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

## Other

- **Enumeration date:** 06/16/2025
- **Last updated:** 06/16/2025