Organization
LIFE BOOST HEALTHCARE LLC
Active
Other names
Tisha Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EDAH (ADMINISTRATOR)
(281) 882-9428
Entity
Organization
Contact information
Practice address
9896 BISSONNET ST, HOUSTON, TX 77036-8104
(281) 882-9428
Mailing address
21422 DORAL ROSE LN, KATY, TX 77449-6813
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/02/2025
Last updated
06/09/2025
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