Individual
UDEZUE O OBUEKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2615 SKYVIEW SILVER DR, HOUSTON, TX 77047-5159
(866) 827-1941
(346) 279-0621
Mailing address
2615 SKYVIEW SILVER DR, HOUSTON, TX 77047-5159
(866) 827-1941
(346) 279-0621
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/03/2021
Last updated
10/29/2024
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