Organization
LIFE AT HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESENIA GONZALEZ (ADMINISTRATOR)
(432) 272-6155
Entity
Organization
Contact information
Practice address
803 W 57TH ST, ODESSA, TX 79764-3568
(432) 272-6155
(432) 272-6165
Mailing address
803 W 57TH ST, ODESSA, TX 79764-3568
(432) 272-6155
(432) 272-6165
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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