Organization
LUCKY ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY NZEADIBE (OWNER)
(972) 303-2800
Entity
Organization
Contact information
Practice address
4510 HORIZON DR, GARLAND, TX 75043-1869
(972) 303-2800
(469) 442-0647
Mailing address
4510 HORIZON DR, GARLAND, TX 75043-1869
(972) 303-2800
(469) 442-0647
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
09/18/2024
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