Organization
BOLU GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT B AWOSIKA (DIRECTOR)
(414) 324-8244
Entity
Organization
Contact information
Practice address
14827 MESA VISTA DR, HOUSTON, TX 77083-1434
(414) 324-8244
Mailing address
14827 MESA VISTA DR, HOUSTON, TX 77083-1434
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/18/2023
Last updated
03/05/2024
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