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Organization
LAWDERA HEALTHCARE SERVICE INC
Active
Organization
LAWDERA HEALTHCARE SERVICE INC
Active
Other names
Lawdera Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAWRETTA NJIDEKA EZUKANMA (DIRECTOR)
(817) 908-5659
Entity
Organization
Contact information
Practice address
9908 LAMBERTON TER, FORT WORTH, TX 76244-8514
(817) 908-5659
(817) 562-2544
Mailing address
9908 LAMBERTON TER, FORT WORTH, TX 76244-8514
(817) 908-5659
(817) 562-2544
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
719537
TX
251F00000X
Home Infusion Agency
719537
TX
253J00000X
Foster Care Agency
719537
TX
253Z00000X
In Home Supportive Care Agency
719537
TX
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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