Organization
LIFESTREAM SUPPORTIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISSA FRANKLIN ATAKLO (ADMINISTRATOR)
(800) 458-1977
Entity
Organization
Contact information
Practice address
8700 COMMERCE PARK DR # 208, HOUSTON, TX 77036-7497
(800) 458-1977
Mailing address
8700 COMMERCE PARK DR # 208, HOUSTON, TX 77036-7497
(832) 400-2056
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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