Organization
GREAT LIFE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS M WALLER (MANAGING MEMBER)
(281) 883-6748
Entity
Organization
Contact information
Practice address
4321 KINGWOOD DR, STE. 177, KINGWOOD, TX 77339-3700
(281) 883-6748
Mailing address
4321 KINGWOOD DR, STE. 177, KINGWOOD, TX 77339-3700
(281) 883-6748
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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