# LIFE'S PATH FORWARD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013627942
- **Authorized official:** MRS. KANDZ KELLY DAIGLE (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (832) 316-8566

## Contact information

- **Practice address:** 4910 LINCOLNSHIRE RD, HOUSTON, TX 77048-4723
- **Practice address phone:** (832) 316-8566
- **Mailing address:** PO BOX 331048, HOUSTON, TX 77233-1048
- **Mailing address phone:** (832) 316-8566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | Yes |
| 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

- **Enumeration date:** 12/01/2022
- **Last updated:** 12/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NB4842LP4WD | SERVICES PROVIDER | — |