Healthcare Provider Details
I. General information
NPI: 1598340382
Provider Name (Legal Business Name): LEAN ON W.E., LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2021
Last Update Date: 06/13/2022
Certification Date: 06/13/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4701 FM 2920 RD STE D3
SPRING TX
77388-3197
US
IV. Provider business mailing address
4701 FM 2920 RD STE D3
SPRING TX
77388-3197
US
V. Phone/Fax
- Phone: 832-823-5098
- Fax: 346-220-4883
- Phone: 832-823-5098
- Fax: 346-220-4883
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FALLON
DANRICH
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 281-203-2187