MEDICARE: JULIANN EDENOJIE

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	009375	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235222886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIANN EDENOJIE

Provider Business Mailing Address
First Line	:	11500 NORTHWEST FWY STE 438
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-6522
Country	:	US
Telephone Number	:	713-680-1141
Fax Number	:	713-680-1142

Provider Business Practice Location Address
First Line	:	11500 NORTHWEST FWY STE 438
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-6522
Country	:	US
Telephone Number	:	713-680-1141
Fax Number	:	713-680-1142

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. JULIANN O EDENOJIE
Credential	:	R.N.
Telephone Number	:	713-680-1141

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	10/06/2008

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Directions to “JULIANN EDENOJIE ” Practice Location

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