MEDICARE: LIFE HEALTH CARE 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		TX

General Provider Information

NPI Number	:	1467549063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE HEALTH CARE SERVICES INC.

Provider Business Mailing Address
First Line	:	6570 W BELLFORT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-2004
Country	:	US
Telephone Number	:	713-981-0700
Fax Number	:	713-981-0703

Provider Business Practice Location Address
First Line	:	6570 W BELLFORT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-2004
Country	:	US
Telephone Number	:	713-981-0700
Fax Number	:	713-981-0703

Authorized Official
Title or Position	:	D.O.N/PRESIDENT
Name	:	MRS. JOY IHUOMA IWEH
Credential	:	R.N
Telephone Number	:	713-981-0700

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/22/2009

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