# AUTUMN OF LIFE, HOME CARE LLC

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

## Provider details

- **NPI number:** 1811423254
- **Authorized official:** NANCY G BORO (ADMINISTRATOR)
- **Authorized official phone:** (972) 408-6537

## Contact information

- **Practice address:** 736 SUMMIT RDG, LEWISVILLE, TX 75077-2921
- **Practice address phone:** (972) 408-6537
- **Mailing address:** 736 SUMMIT RDG, LEWISVILLE, TX 75077-2921
- **Mailing address phone:** (972) 408-6537

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2017
- **Last updated:** 08/14/2023