Organization
HEALTHGENIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE ODUARAN (CEO)
(832) 774-7747
Entity
Organization
Contact information
Practice address
19607 NORFOLK RIDGE WAY, RICHMOND, TX 77407-7123
(832) 774-7747
(832) 565-9786
Mailing address
19607 NORFOLK RIDGE WAY, RICHMOND, TX 77407
(832) 774-7747
(832) 566-9786
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
TX
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
253Z00000X
In Home Supportive Care Agency
—
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
TX
310400000X
Assisted Living Facility
—
TX
Other
Enumeration date
10/18/2012
Last updated
12/22/2013
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