Healthcare Provider Details

I. General information

NPI: 1518283647
Provider Name (Legal Business Name): EFE ASSISTED LIVING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 04/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5922 KENILWOOD DR
HOUSTON TX
77033-2134
US

IV. Provider business mailing address

10411 SAGEWICK DR
HOUSTON TX
77089-3326
US

V. Phone/Fax

Practice location:
  • Phone: 713-731-8224
  • Fax: 281-993-8183
Mailing address:
  • Phone: 832-202-4100
  • Fax: 281-993-8183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number102622
License Number StateTX

VIII. Authorized Official

Name: GODFREY A IGBINOVIA
Title or Position: ADMINISTRATOR
Credential:
Phone: 832-202-4100