# PASSIONATE HEART HOME CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1811351299
- **Authorized official:** DR. WANDA YVETTE DAVIS PHARMD., MPH (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (609) 610-8170

## Contact information

- **Practice address:** 23 LIBERTY BRANCH BLVD, THE WOODLANDS, TX 77389-2848
- **Practice address phone:** (609) 610-8170
- **Mailing address:** 23 LIBERTY BRANCH BLVD, THE WOODLANDS, TX 77389-2848
- **Mailing address phone:** (609) 610-8170

## Taxonomy

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

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 04/11/2016