- Enrollment id
- O20060215000448
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1205881067
- Multiple npi flag
- N
- Ccn
- 457973
- Associate id
- 5799799151
- Organization name
- NULIF HOME HEALTHCARE SERVICES INC
- Incorporation date
- 2014-04-21
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 400 CHISHOLM PL
- Address line 2
- STE. 304, RM #103
- City
- PLANO
- State
- TX
- Zip code
- 750756938