MEDICARE: MRS. FLORENCE EJIOFOR ABEL

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	253Z00000X	In Home Supportive Care Agency		TX

General Provider Information

NPI Number	:	1902051634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FLORENCE EJIOFOR ABEL

Provider Business Mailing Address
First Line	:	15022 PALACE OAKS CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3039
Country	:	US
Telephone Number	:	281-752-8681
Fax Number	:

Provider Business Practice Location Address
First Line	:	15022 PALACE OAKS CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3039
Country	:	US
Telephone Number	:	281-752-8681
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2008
Last Update Date	:	11/21/2008

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