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NPI Code Detail

MEDICARE: AN ABUNDANCE OF LOVE ENTERPRISES LLC

MEDICARE: AN ABUNDANCE OF LOVE ENTERPRISES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency
3347C00000XPrivate Vehicle
4385HR2050XRespite Care Camp
5385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care

General Provider Information

NPI Number : 1023941630
Entity Type Code : Organization
Provider Name (Legal Business Name) : AN ABUNDANCE OF LOVE ENTERPRISES LLC
Provider Business Mailing Address
First Line : 2931 RIDGE RD STE 101
Second Line : #1049
City : ROCKWALL
State : TX
Zip : 75032-6684
Country : US
Telephone Number : 972-360-9435
Fax Number : 214-617-0340
Provider Business Practice Location Address
First Line : 3225 I-30 FRONTAGE RD.
Second Line : SUITE G OFFICE 1
City : MESQUITE
State : TX
Zip : 75150
Country : US
Telephone Number : 972-360-9435
Fax Number : 214-617-0340
Authorized Official
Title or Position : CEO/OWNER
Name : KIFFANY JEFFERSON
Credential : M.A. SPED
Telephone Number : 469-307-6643
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “AN ABUNDANCE OF LOVE ENTERPRISES LLC ” Practice Location

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