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Mutiu Kolapo

Assisted Living Facility, Assisted Living, Mental Illness in Rowlett, TX. Individual provider (NPI-1).

NPI number1952913360
StatusActive
Last updated in NPPESAug 25, 2020

Details

NPI
1952913360
Entity type
Individual (NPI-1)
Name
Mutiu Kolapo
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 18, 2020
Certification date
Aug 25, 2020
Last updated
Aug 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness––Yes
171M00000X Case Manager/Care Coordinator–TX
101YM0800X Counselor, Mental Health–TX
385H00000X Respite Care––

Practice location

6837 Danridge Rd
Rowlett, TX 75089-2004

Phone 832-290-8275

Mailing address

6837 Danridge Rd
Rowlett, TX 75089-2004

Phone 832-290-8275

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