MEDICARE: ELIZABETH OKORAFOR, OLUFUNMILAYO FESO

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	011280	TX

General Provider Information

NPI Number	:	1801090147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH OKORAFOR, OLUFUNMILAYO FESO

Provider Business Mailing Address
First Line	:	7806 CANDLEGREEN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2709
Country	:	US
Telephone Number	:	713-502-3822
Fax Number	:	713-729-1762

Provider Business Practice Location Address
First Line	:	7806 CANDLEGREEN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2709
Country	:	US
Telephone Number	:	713-502-3822
Fax Number	:	713-729-1762

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ELIZABETH OKORAFOR
Credential	:	RN
Telephone Number	:	713-502-3822

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	08/22/2020

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