Organization
LENA PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN EBAI (OWNER)
(214) 573-3634
Entity
Organization
Contact information
Practice address
12936 PRESERVE LN, FRISCO, TX 75035-0132
(214) 573-3634
Mailing address
12936 PRESERVE LN, FRISCO, TX 75035-0132
(214) 573-3634
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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