MEDICARE: LEAR SENIOR CARE SERVICES, 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1275831547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEAR SENIOR CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	8070 PARK LN
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75231-6405
Country	:	US
Telephone Number	:	214-363-1001
Fax Number	:	214-363-1095

Provider Business Practice Location Address
First Line	:	8070 PARK LN
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75231-6405
Country	:	US
Telephone Number	:	214-363-1001
Fax Number	:	214-363-1095

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MRS. AMY MILBURN RUTLEDGE
Credential	:
Telephone Number	:	214-363-1001

Provider Enumeration Date	:	03/10/2011
Last Update Date	:	03/10/2011

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