MEDICARE: MELODY'S PLACE, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253J00000X	Foster Care Agency
2	310400000X	Assisted Living Facility
3	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1811513252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELODY'S PLACE, L.L.C.

Provider Business Mailing Address
First Line	:	5138 JEFFERSON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3227
Country	:	US
Telephone Number	:	713-884-9908
Fax Number	:	713-484-6909

Provider Business Practice Location Address
First Line	:	5138 JEFFERSON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3227
Country	:	US
Telephone Number	:	713-884-9908
Fax Number	:	713-484-6909

Authorized Official
Title or Position	:	OWNER
Name	:	EZIAKONWA MELODY ODUNZE
Credential	:
Telephone Number	:	713-884-9908

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	04/01/2025

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Directions to “MELODY'S PLACE, L.L.C. ” Practice Location

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