Organization
AZUSA GROUP LLC
Active
Other names
Azusa Cars
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUFEMI OLAWALE OLUSESI MD (EXECUTIVE DIRECTOR)
(832) 375-9397
Entity
Organization
Contact information
Practice address
8403 MISTY PRAIRIE LN, RICHMOND, TX 77407-2480
(832) 375-9397
Mailing address
8403 MISTY PRAIRIE LN, RICHMOND, TX 77407-2480
(832) 375-9397
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/13/2019
Last updated
09/02/2025
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