Healthcare Provider Details

I. General information

NPI: 1649652397
Provider Name (Legal Business Name): GOD IS BEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 06/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5204 PALE SAGE LN
ROSHARON TX
77583-8235
US

IV. Provider business mailing address

5204 PALE SAGE LN
ROSHARON TX
77583-8235
US

V. Phone/Fax

Practice location:
  • Phone: 832-967-0899
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GOODLUCK O ONUEKWUSI
Title or Position: OWNER
Credential:
Phone: 832-967-0899