MEDICARE: LYONGA & CO 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1417011826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYONGA & CO LLC

Provider Business Mailing Address
First Line	:	14739 MESA VILLAGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053-3655
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14739 MESA VILLAGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053-3655
Country	:	US
Telephone Number	:	713-413-3624
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	RHOSHONDA MOSLEY-LYONGA
Credential	:
Telephone Number	:	713-413-3624

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	08/22/2020

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Directions to “LYONGA & CO LLC ” Practice Location

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