Provider Demographics
NPI:1053863217
Name:L&L HOME CARE ETC.
Entity Type:Organization
Organization Name:L&L HOME CARE ETC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LVN (NURSING)
Authorized Official - Prefix:
Authorized Official - First Name:LATRICIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-382-3262
Mailing Address - Street 1:20614 KIWI PL
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-2066
Mailing Address - Country:US
Mailing Address - Phone:713-382-3262
Mailing Address - Fax:713-382-3262
Practice Address - Street 1:20614 KIWI PL
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2066
Practice Address - Country:US
Practice Address - Phone:713-382-3262
Practice Address - Fax:713-382-3262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302458164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty