Nora O Adeyinka
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Stafford, TX. Individual provider (NPI-1).
NPI number1649895830
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1649895830
- Entity type
- Individual (NPI-1)
- Name
- Nora O Adeyinka
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2020
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
12840 S Kirkwood Rd Apt 535Stafford, TX 77477-3833
Phone 832-245-3651 · Fax 800-513-3753
Mailing address
12840 S Kirkwood Rd Apt 535Stafford, TX 77477-3833
Phone 832-245-3651 · Fax 800-513-3753
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