Individual
EYITAYO LONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24718 SCARLATTI CANTATA DR, KATY, TX 77493-3278
(832) 969-8218
Mailing address
PO BOX 129, CLEVELAND, TX 77328-0129
(832) 969-8218
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
841884628
TX
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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