# BELOVED COMMUNITY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Beloved Community Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902473242
- **Authorized official:** CASSANDRA RAE LOPEZ (ADMINISTRATOR)
- **Authorized official phone:** (361) 235-1712

## Contact information

- **Practice address:** 4104 HOUSTON HWY STE 200, VICTORIA, TX 77901-4700
- **Practice address phone:** (361) 235-1712
- **Mailing address:** 4104 HOUSTON HWY STE 200, VICTORIA, TX 77901-4700
- **Mailing address phone:** (361) 235-1712

## Taxonomy

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

## Other

- **Enumeration date:** 06/07/2021
- **Last updated:** 08/16/2021