# LOVE ABUNDANTLY HOME CARE AGENCY LLC

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

## Provider details

- **NPI number:** 1447636725
- **Authorized official:** VALERIE BOLES (ADMINISTRATOR)
- **Authorized official phone:** (469) 474-8743

## Contact information

- **Practice address:** 3637 MONTICELLO WAY, HEARTLAND, TX 75126-2556
- **Practice address phone:** (469) 446-8002
- **Mailing address:** 3637 MONTICELLO WAY, HEARTLAND, TX 75126-2556
- **Mailing address phone:** (469) 446-8002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | 017209 | TX | — |

## Other

- **Enumeration date:** 08/10/2015
- **Last updated:** 10/19/2020