Organization
SWEETWATER LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVONY CUNNINGHAM (OWNER)
(251) 508-1098
Entity
Organization
Contact information
Practice address
4311 STILLWATER VALLEY CT, MISSOURI CITY, TX 77459-2068
(251) 508-1098
Mailing address
3130 GRANTS LAKE BLVD # 17724, SUGAR LAND, TX 77479-1255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
174200000X
Meals Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
09/17/2025
Last updated
05/26/2026
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