Organization
BELOVED COMMUNITY CARE LLC
Active
Other names
Beloved Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA RAE LOPEZ (ADMINISTRATOR)
(361) 235-1712
Entity
Organization
Contact information
Practice address
4104 HOUSTON HWY STE 200, VICTORIA, TX 77901-4700
(361) 235-1712
Mailing address
4104 HOUSTON HWY STE 200, VICTORIA, TX 77901-4700
(361) 235-1712
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
08/16/2021
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