Organization
LILLYWEST HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOMA OLADE BSN, RN (CEO)
(404) 441-8752
Entity
Organization
Contact information
Practice address
4935 ALAINA DR, ROSHARON, TX 77583-0440
(832) 840-9456
Mailing address
4935 ALAINA DR, ROSHARON, TX 77583-0440
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/06/2023
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