# KOPPOLU INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstLight Home Care of Liberty Hill, FirstLight Home Care of Liberty Hill TX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720802945
- **Authorized official:** MR. CHANAKYA VENKATA KOPPOLU (PRESIDENT)
- **Authorized official phone:** (512) 641-2318

## Contact information

- **Practice address:** 9025 HIGHWAY, SUITE 207, LIBERTY HILL, TX 78642-2402
- **Practice address phone:** (512) 641-2318
- **Practice address fax:** (512) 641-2387
- **Mailing address:** 9025 HIGHWAY 29, SUITE 207, LIBERTY HILL, TX 78642-2402
- **Mailing address phone:** (512) 641-2318

## Taxonomy

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

## Other

- **Enumeration date:** 11/13/2024
- **Last updated:** 02/04/2025