MEDICARE: LIFE'S TREASURES HOSPICE CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1134705395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE'S TREASURES HOSPICE CARE PLLC

Provider Business Mailing Address
First Line	:	10903 DOUD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-3146
Country	:	US
Telephone Number	:	310-228-8319
Fax Number	:

Provider Business Practice Location Address
First Line	:	10903 DOUD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-3146
Country	:	US
Telephone Number	:	310-228-8319
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LARRY ALLEN FLOWERS
Credential	:
Telephone Number	:	310-228-8319

Provider Enumeration Date	:	03/18/2021
Last Update Date	:	03/18/2021

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