Organization
PANACHE HOME HEALTH SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA M OGUNDIMBOLA (OWNER)
(346) 467-5487
Entity
Organization
Contact information
Practice address
3909 LILY PARK LN, FULSHEAR, TX 77441-1875
(346) 467-5487
Mailing address
4418 RAN LILY CT, FULSHEAR, TX 77441-1875
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
07/07/2025
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