Individual
NGOZI ROSE EJIOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 COYOTE HILLS LN, LANE, RICHMOND, TX 77469-6236
(832) 407-4047
Mailing address
1518 COYOTE HILLS LN, LANE, RICHMOND, TX 77469-6236
(832) 407-4047
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320900000X
COMMUNITY BASED RESID.
TX
Enumeration date
12/23/2006
Last updated
07/08/2007
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