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Organization
LIFE SOURCE HOME HEALTHCARE, INC.
Active
Organization
LIFE SOURCE HOME HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROWENA MARTIR (PRESIDENT)
(832) 597-4461
Entity
Organization
Contact information
Practice address
3302 GARTH RD, BAYTOWN, TX 77521-3808
(281) 420-3977
(281) 420-1112
Mailing address
3302 GARTH RD, BAYTOWN, TX 77521-3808
(281) 420-3977
(281) 420-1112
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014037
TX
Other
Enumeration date
11/01/2010
Last updated
03/10/2015
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