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NPI Code Detail

MEDICARE: LUCENT HOME HEALTH LLC

MEDICARE: LUCENT HOME HEALTH LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1649462334
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUCENT HOME HEALTH LLC
Provider Business Mailing Address
First Line : 1255 W 15TH ST STE 900
Second Line :
City : PLANO
State : TX
Zip : 75075-4214
Country : US
Telephone Number : 972-664-0945
Fax Number : 972-664-0139
Provider Business Practice Location Address
First Line : 1255 W 15TH ST STE 900
Second Line :
City : PLANO
State : TX
Zip : 75075-4214
Country : US
Telephone Number : 972-664-0945
Fax Number : 972-664-0139
Authorized Official
Title or Position : OWNER
Name : ZACHARY KOENEN
Credential :
Telephone Number : 469-298-2182
Provider Enumeration Date : 08/16/2007
Last Update Date : 09/30/2024

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Directions to “LUCENT HOME HEALTH LLC ” Practice Location

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