Organization
MODERN HEALTH EXPERIENCE LLC
Active
Parent organization
MODERN HEALTH EXPERIENCE LLC
Other names
Dehydration Recovery Infusion Providers
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN HEALTH EXPERIENCE LLC
Authorized official
LASHEILA THOMAS RN (RN/OWNER)
(214) 690-4986
Entity
Organization
Contact information
Practice address
920 CAUDLE LN, SAVANNAH, TX 76227-7873
(214) 690-4986
Mailing address
920 CAUDLE LN, SAVANNAH, TX 76227-7873
(214) 690-4986
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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