# LOVING HEARTS HOME CARE

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

## Provider details

- **NPI number:** 1982006482
- **Authorized official:** CLISSI T JACKSON (OWNER)
- **Authorized official phone:** (314) 556-0305

## Contact information

- **Practice address:** 915 1/2 N 16TH ST, BISMARCK, ND 58501-4254
- **Practice address phone:** (314) 556-0305
- **Mailing address:** 915 1/2 N 16TH ST, BISMARCK, ND 58501-4254
- **Mailing address phone:** (314) 556-0305

## Taxonomy

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

## Other

- **Enumeration date:** 09/16/2014
- **Last updated:** 09/16/2014