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Organization
LIFE'S PATH FORWARD LLC
Active
Organization
LIFE'S PATH FORWARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANDZ KELLY DAIGLE (CHIEF OPERATING OFFICER)
(832) 316-8566
Entity
Organization
Contact information
Practice address
4910 LINCOLNSHIRE RD, HOUSTON, TX 77048-4723
(832) 316-8566
Mailing address
PO BOX 331048, HOUSTON, TX 77233-1048
(832) 316-8566
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
Primary
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NB4842LP4WD
SERVICES PROVIDER
—
Enumeration date
12/01/2022
Last updated
12/01/2022
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