# PANACHE HOME HEALTH SERVICES,LLC

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

## Provider details

- **NPI number:** 1407680325
- **Authorized official:** VICTORIA M OGUNDIMBOLA (OWNER)
- **Authorized official phone:** (346) 467-5487

## Contact information

- **Practice address:** 3909 LILY PARK LN, FULSHEAR, TX 77441-1875
- **Practice address phone:** (346) 467-5487
- **Mailing address:** 4418 RAN LILY CT, FULSHEAR, TX 77441-1875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2024
- **Last updated:** 07/07/2025