Provider Demographics
NPI:1003308651
Name:INFUSIONS R US HOME HEALTH LLC
Entity Type:Organization
Organization Name:INFUSIONS R US HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN WOODS
Authorized Official - Last Name:LOLLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-872-0681
Mailing Address - Street 1:11504 FOREST BR
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:78233-4343
Mailing Address - Country:US
Mailing Address - Phone:210-872-0681
Mailing Address - Fax:210-253-9113
Practice Address - Street 1:11504 FOREST BR
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-4343
Practice Address - Country:US
Practice Address - Phone:210-872-0681
Practice Address - Fax:210-253-9113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health