Provider Demographics
NPI:1265960363
Name:DAVID AND LY, LLC.
Entity type:Organization
Organization Name:DAVID AND LY, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LATTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-867-3571
Mailing Address - Street 1:8230 TWIN TREE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2918
Mailing Address - Country:US
Mailing Address - Phone:832-867-3571
Mailing Address - Fax:
Practice Address - Street 1:4916 W 34TH ST # A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-6606
Practice Address - Country:US
Practice Address - Phone:832-867-3571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health