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4life Home Health Services LLC

Home Health in Grand Prairie, TX. Organization (NPI-2).

NPI number1891487500
StatusActive
Last updated in NPPESJul 1, 2025

Details

NPI
1891487500
Entity type
Organization (NPI-2)
Legal business name
4life Home Health Services LLC
Organization subpart
No
Enumeration date
May 22, 2023
Certification date
Jul 1, 2025
Last updated
Jul 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
253Z00000X In Home Supportive Care––

Practice location

1106 N State Highway 360 Ste 220
Grand Prairie, TX 75050-2511

Phone 682-321-7002 · Fax 682-321-7028

Mailing address

1106 N State Highway 360 Ste 220
Grand Prairie, TX 75050-2511

Phone 682-321-7002 · Fax 682-321-7028

Authorized official

Adeleye Adekola
Owner/President/Secretary
3479095884

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