Organization
EMPRESS GOLD INTERNATIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMBIAT TEMILOLA OLOWU (MANAGER)
(504) 435-2430
Entity
Organization
Contact information
Practice address
735 CRYSTAL LAKES DR, BROOKSHIRE, TX 77423-4517
(504) 435-2430
Mailing address
735 CRYSTAL LAKES DR, BROOKSHIRE, TX 77423-4517
(504) 435-2430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
11/06/2023
Last updated
11/08/2023
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