Organization
LOVE ABUNDANTLY HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE BOLES (ADMINISTRATOR)
(469) 474-8743
Entity
Organization
Contact information
Practice address
3637 MONTICELLO WAY, HEARTLAND, TX 75126-2556
(469) 446-8002
Mailing address
3637 MONTICELLO WAY, HEARTLAND, TX 75126-2556
(469) 446-8002
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
017209
TX
Other
Enumeration date
08/10/2015
Last updated
10/19/2020
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