- Enrollment id
- O20041111001071
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1689785289
- Multiple npi flag
- N
- Ccn
- 457905
- Associate id
- 2567426364
- Organization name
- TREASURE LIFE HEALTHCARE SERVICES INC
- Doing business as name
- LIFELINE HEALTH CARE OF LINCARE
- Incorporation date
- 2004-04-19
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8111 LBJ FWY
- Address line 2
- STE 1330A
- City
- DALLAS
- State
- TX
- Zip code
- 752511313