Provider Demographics
NPI:1447971718
Name:NEW LIFE HEALTH RESOURCES LLC
Entity type:Organization
Organization Name:NEW LIFE HEALTH RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAWA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS-KANDEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-624-0727
Mailing Address - Street 1:20711 SLATE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1452
Mailing Address - Country:US
Mailing Address - Phone:713-624-0727
Mailing Address - Fax:
Practice Address - Street 1:12811 DRAKE PRAIRIE LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:713-624-0727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health