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Akorede Abraham Quadri

Assisted Living Facility in Hickory Creek, TX. Individual provider (NPI-1).

NPI number1972352003
StatusActive
Last updated in NPPESMay 13, 2024

Details

NPI
1972352003
Entity type
Individual (NPI-1)
Name
Akorede Abraham Quadri
Sex
Male
Sole proprietor
Yes
Enumeration date
May 13, 2024
Certification date
May 13, 2024
Last updated
May 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

1002 Pitch Pine St
Hickory Creek, TX 75065-7607

Phone 682-564-2668

Mailing address

1002 Pitch Pine St
Hickory Creek, TX 75065-7607

Phone 682-564-2668

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