| NPI | 1063794543 |
|---|---|
| Doing Business As | LAWDERA HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | LAWRETTA NJIDEKA EZUKANMA Director 817-908-5659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 719537) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: TX 719537) |
| 253J00000X Foster Care Agency (Licence: TX 719537) | |
| 253Z00000X In Home Supportive Care (Licence: TX 719537) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |