MEDICARE: 4LIFE HOME HEALTHCARE

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	:	1891181731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	4LIFE HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	14405 WALTERS RD
Second Line	:	SUITE 610
City	:	HOUSTON
State	:	TX
Zip	:	77014-1337
Country	:	US
Telephone Number	:	281-954-5433
Fax Number	:

Provider Business Practice Location Address
First Line	:	14405 WALTERS RD
Second Line	:	SUITE 610
City	:	HOUSTON
State	:	TX
Zip	:	77014-1337
Country	:	US
Telephone Number	:	281-954-5433
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LATUNDIA MARKS
Credential	:
Telephone Number	:	281-954-5433

Provider Enumeration Date	:	04/07/2015
Last Update Date	:	04/07/2015

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Directions to “4LIFE HOME HEALTHCARE ” Practice Location

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