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NPI Code Detail

MEDICARE: L.L. EXCLUSIVE, LLC

MEDICARE: L.L. EXCLUSIVE, 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
1305R00000XPreferred Provider Organization
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1932782398
Entity Type Code : Organization
Provider Name (Legal Business Name) : L.L. EXCLUSIVE, LLC
Provider Business Mailing Address
First Line : 4812 CHENEVERT ST UNIT B
Second Line :
City : HOUSTON
State : TX
Zip : 77004-5662
Country : US
Telephone Number : 832-661-5545
Fax Number :
Provider Business Practice Location Address
First Line : 10333 HARWIN DR STE 303
Second Line :
City : HOUSTON
State : TX
Zip : 77036-1532
Country : US
Telephone Number : 832-661-5545
Fax Number : 713-505-1260
Authorized Official
Title or Position : MANAGER
Name : MR. LIN LUO
Credential :
Telephone Number : 832-661-5545
Provider Enumeration Date : 05/04/2021
Last Update Date : 06/27/2024

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Directions to “L.L. EXCLUSIVE, LLC ” Practice Location

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