# LILMOMMASHOME HEALTH CARE,LLC

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

## Provider details

- **NPI number:** 1518209048
- **Authorized official:** MRS. SANDRA WILLIAMS- MORRIS NURSE (OWNER/OPERATOR)
- **Authorized official phone:** (540) 353-8626

## Contact information

- **Practice address:** 3739 SOUTHWAY DR SW APT 41, ROANOKE, VA 24014-2265
- **Practice address phone:** (540) 353-6826
- **Mailing address:** 3739 SOUTHWAY DR SW APT 41, ROANOKE, VA 24014-2265
- **Mailing address phone:** (540) 353-6826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 251E0000X | VA | Yes |

## Other

- **Enumeration date:** 03/22/2013
- **Last updated:** 03/22/2013