Organization
EMKAYHO HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLABAMIJI KAZEEM ABIMBOLA DSCPAS/PA-C (PRESIDENT)
(817) 531-7551
Entity
Organization
Contact information
Practice address
5200 COOL RIVER CT, MANSFIELD, TX 76063-6831
(401) 365-0464
Mailing address
5200 COOL RIVER CT, MANSFIELD, TX 76063-6831
(817) 531-7551
(817) 642-9167
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804006167
CERTIFICATE OF FILLING
TX
Enumeration date
04/13/2021
Last updated
02/22/2025
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