Provider Demographics
NPI:1073365599
Name:LIEU HEALING HEARTS HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:LIEU HEALING HEARTS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MKAU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:601-618-4773
Mailing Address - Street 1:1604 CENTENARY DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3806
Mailing Address - Country:US
Mailing Address - Phone:469-602-2540
Mailing Address - Fax:
Practice Address - Street 1:1604 CENTENARY DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-3806
Practice Address - Country:US
Practice Address - Phone:469-602-2540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty