# 4LIFE HOME HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1891487500
- **Authorized official:** ADELEYE ADEKOLA (OWNER/PRESIDENT/SECRETARY)
- **Authorized official phone:** (347) 909-5884

## Contact information

- **Practice address:** 1106 N STATE HIGHWAY 360 STE 220, GRAND PRAIRIE, TX 75050-2511
- **Practice address phone:** (682) 321-7002
- **Practice address fax:** (682) 321-7028
- **Mailing address:** 1106 N STATE HIGHWAY 360 STE 220, GRAND PRAIRIE, TX 75050-2511
- **Mailing address phone:** (682) 321-7002
- **Mailing address fax:** (682) 321-7028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 07/01/2025
