MR. SAM IHEKWOABA

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Individual

NPI: 1962719385

Practice Address

13403 ELDRIDGE VILLA ST
Sugar Land, TX 77498

Specialties

Specialty	Code	Primary	License
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	No	-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Yes	-

Frequently Asked Questions

NPI 1962719385 is the National Provider Identifier for MR. SAM IHEKWOABA, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Sugar Land, TX. This NPI was enumerated on September 7, 2010.

MR. SAM IHEKWOABA practices at 13403 ELDRIDGE VILLA ST, Sugar Land, TX 77498.

Quick Facts

NPI: 1962719385
Type: Individual
Enumerated: Sep 7, 2010
Last Updated: Sep 7, 2010

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