Individual
MR. GEOFFREY IHEUKWUMERE NZEADIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3960 BROADWAY BLVD STE 230, GARLAND, TX 75043-2591
(972) 303-2800
(469) 442-0647
Mailing address
4510 HORIZON DR, GARLAND, TX 75043-1869
(972) 303-2800
(469) 366-1655
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
03/29/2022
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