Organization
L & B GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVELINE I MUFOR RN (PROGRAM MANAGER)
(214) 574-6427
Entity
Organization
Contact information
Practice address
605 E PALACE PKWY STE, B4, GRAND PRAIRIE, TX 75050
(214) 574-6427
Mailing address
605 E PALACE PKWY STE B4, GRAND PRAIRIE, TX 75050-2324
(214) 574-6427
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
774205
TEXAS BOARD NURSING
TX
Enumeration date
09/19/2017
Last updated
07/21/2022
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