Organization
LIFETIME WELLNESS COMMUNITY OUTREACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSAZE IDUMWONYI (CHW/COMMUNITY HEALTH WORKER)
(214) 709-5615
Entity
Organization
Contact information
Practice address
14809 RALSTON RD, HUMBLE, TX 77396-5142
(214) 709-5615
Mailing address
1337 W 43RD ST UNIT 1121, HOUSTON, TX 77018-4202
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
07/01/2026
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