# LONG LIFE HEALTHCARE OF TEXAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LONG LIFE HEALTHCARE OF TEXAS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336539196
- **Authorized official:** MS. VERONICA MARISCAL (ALTERNATE ADMINISTRATOR)
- **Authorized official phone:** (832) 649-5947

## Contact information

- **Practice address:** 8866 GULF FRWY, SUITE 400F, HOUSTON, TX 77017-4412
- **Practice address phone:** (832) 649-5947
- **Practice address fax:** (832) 767-1396
- **Mailing address:** 8866 GULF FWY STE 400F, HOUSTON, TX 77017-6514
- **Mailing address phone:** (832) 649-5947
- **Mailing address fax:** (832) 767-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2015
- **Last updated:** 10/10/2016