MEDICARE: NULIF HOME HEALTHCARE SERVICES INC

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	251E00000X	Home Health Agency	015849	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	457973	OTHER	TX	MEDICARE NUMBER

General Provider Information

NPI Number	:	1093125205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NULIF HOME HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	7111 MARVIN D LOVE FWY
Second Line	:	SUITE 209
City	:	DALLAS
State	:	TX
Zip	:	75237-3106
Country	:	US
Telephone Number	:	972-780-5764
Fax Number	:	972-780-5763

Provider Business Practice Location Address
First Line	:	7111 MARVIN D LOVE FWY
Second Line	:	SUITE 209
City	:	DALLAS
State	:	TX
Zip	:	75237-3106
Country	:	US
Telephone Number	:	972-780-5764
Fax Number	:	972-780-5763

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JULIUS O OKUNOLA
Credential	:
Telephone Number	:	972-780-5764

Provider Enumeration Date	:	04/28/2014
Last Update Date	:	04/28/2014

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Directions to “NULIF HOME HEALTHCARE SERVICES INC ” Practice Location

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