Organization
B B THOMPSON ROYALE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBENEZER OLUSOLA AKANGBE (ADMINISTRATOR)
(832) 853-3847
Entity
Organization
Contact information
Practice address
11214 DUNSTAN HILL DR, RICHMOND, TX 77407
(832) 853-3847
Mailing address
11214 DUNSTAN HILL DR, RICHMOND, TX 77407-1845
(832) 853-3847
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376070888
NPI
—
01
—
802716566
OFFICE OF SECRETARY OF STATE
TX
Enumeration date
05/15/2017
Last updated
07/21/2022
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