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General NPI Number Information
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NPI Number | 1740592724
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Entity Type | Organization
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Legal Business Name | BAMBINO HEALTHCARE SERVICES
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 9700 LEAWOOD BLVD APT 1301
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City | HOUSTON
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State | TX
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Zip | 77099-2531
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Country | US
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Telephone | 832-887-4183
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Fax |
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Provider Business Mailing Address
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Address Line | 9700 LEAWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77099
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Country | US
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Telephone | 832-887-4183
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER
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Name | MR. BAMIDELE YUSUF ADIO ODUOLA
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Credential |
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Telephone | 832-887-4183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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