# LILLYWEST HOMES LLC

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

## Provider details

- **NPI number:** 1538936257
- **Authorized official:** BOMA OLADE BSN, RN (CEO)
- **Authorized official phone:** (404) 441-8752

## Contact information

- **Practice address:** 4935 ALAINA DR, ROSHARON, TX 77583-0440
- **Practice address phone:** (832) 840-9456
- **Mailing address:** 4935 ALAINA DR, ROSHARON, TX 77583-0440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2023
- **Last updated:** 12/06/2023