Organization
OUR LOVING ABODE, INC
Active
Other names
Our Loving Abode, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MAMIE MINEOR (OWNER/MANAGER)
(817) 714-7069
Entity
Organization
Contact information
Practice address
5304 GREENSHAVEN DR, FORT WORTH, TX 76112-8720
(817) 714-7069
Mailing address
5304 GREENSHAVEN DR, FORT WORTH, TX 76112-8720
(817) 714-7069
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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