Abundantly Living Home Care LLC
In Home Supportive Care in Pearland, TX. Organization (NPI-2).
NPI number1104708924
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1104708924
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundantly Living Home Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2025
- Certification date
- Jul 8, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
11200 Broadway St Ste 2743Pearland, TX 77584-9787
Phone 713-955-0967 · Fax 281-262-3122
Mailing address
11200 Broadway St Ste 2743Pearland, TX 77584-9787
Authorized official
Samuel Willis
Owner
7139550967
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