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Organization
LIFE BOOST HEALTHCARE LLC
Active
Organization
LIFE BOOST HEALTHCARE LLC
Active
Other names
Tisha Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EDAH (ADMINISTRATOR)
(281) 882-9428
Entity
Organization
Contact information
Practice address
9896 BISSONNET ST, HOUSTON, TX 77036-8104
(281) 882-9428
Mailing address
21422 DORAL ROSE LN, KATY, TX 77449-6813
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/02/2025
Last updated
06/09/2025
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