MEDICARE: LATCH OF LOVE

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1760260277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LATCH OF LOVE

Provider Business Mailing Address
First Line	:	4817 VERA CRUZ DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-3131
Country	:	US
Telephone Number	:	972-803-7708
Fax Number	:

Provider Business Practice Location Address
First Line	:	4817 VERA CRUZ DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-3131
Country	:	US
Telephone Number	:	972-803-7708
Fax Number	:

Authorized Official
Title or Position	:	RN
Name	:	MS. LETICIA HARLEY
Credential	:
Telephone Number	:	972-803-7708

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	09/18/2023

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Directions to “LATCH OF LOVE ” Practice Location

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