Organization
LIFE CHANGING ASSISTANCE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANNA LUSK (ADMINISTRATOR)
(832) 715-2358
Entity
Organization
Contact information
Practice address
5025 DOOLITTLE BLVD, HOUSTON, TX 77033
(832) 715-2358
Mailing address
5025 DOOLITTLE BLVD, HOUSTON, TX 77033-3494
(832) 715-2358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
TX
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801320064
SOLE PROPRIETOR
TX
Enumeration date
05/16/2018
Last updated
11/26/2019
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