Individual provider · NPI-1
Justice Jolly Amaechi
Home Health · Cypress, TX
NPI number1255594149
StatusActive
Last updated in NPPESAug 9, 2010
Details
- NPI
- 1255594149
- Entity type
- Individual (NPI-1)
- Name
- Mr. Justice Jolly Amaechi
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2008
- Last updated
- Aug 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 374U00000X | Home Health Aide | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
20322 Mathis Landing DrCypress, TX 77433-6178
Phone 281-213-3315 · Fax 281-213-3315
Mailing address
20322 Mathis Landing DrCypress, TX 77433-6178
Phone 281-213-3315 · Fax 281-213-3315
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