Organization
ABUNDANTLY LIVING HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WILLIS MD (OWNER)
(713) 955-0967
Entity
Organization
Contact information
Practice address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(713) 955-0967
(281) 262-3122
Mailing address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(713) 955-0967
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
01/13/2026
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