MEDICARE: JENNY OGADI

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	010114	TX

General Provider Information

NPI Number	:	1013012954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JENNY OGADI

Provider Business Mailing Address
First Line	:	6610 HARWIN DR
Second Line	:	SUITE #222
City	:	HOUSTON
State	:	TX
Zip	:	77036-2293
Country	:	US
Telephone Number	:	713-534-1108
Fax Number	:	713-534-1109

Provider Business Practice Location Address
First Line	:	6610 HARWIN DR
Second Line	:	SUITE #222
City	:	HOUSTON
State	:	TX
Zip	:	77036-2293
Country	:	US
Telephone Number	:	713-534-1108
Fax Number	:	713-534-1109

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. JENNY OGADI
Credential	:
Telephone Number	:	713-532-0013

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	12/26/2013

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