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NPI Code Detail

MEDICARE: FOSHAK ENTERPRISES LLC.

MEDICARE: FOSHAK ENTERPRISES LLC.
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
1315P00000XIntellectual Disabilities Intermediate Care Facility

General Provider Information

NPI Number : 1972441301
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOSHAK ENTERPRISES LLC.
Provider Business Mailing Address
First Line : 8103 CLIFFSIDE TERRACE CT
Second Line :
City : RICHMOND
State : TX
Zip : 77407-3061
Country : US
Telephone Number : 346-270-6539
Fax Number :
Provider Business Practice Location Address
First Line : 8103 CLIFFSIDE TERRACE CT
Second Line :
City : RICHMOND
State : TX
Zip : 77407-3061
Country : US
Telephone Number : 346-270-6539
Fax Number :
Authorized Official
Title or Position : CEO
Name : MRS. FOLASHADE SHAKIRAT ADEBISI
Credential :
Telephone Number : 346-270-6539
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “FOSHAK ENTERPRISES LLC. ” Practice Location

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