Vanessa Obaseki

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1275843823

Vanessa Obaseki is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sugarland, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in: TX
In the registry since: 2010
Specialties on file: 3

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Practice location Address checks out

2619 Pine Shadow
Sugarland, TX 77479 Not confirmed with CMS for 15 years — call before visiting
Phone: (281) 546-8634
Fax: (713) 746-7446

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X
Non-emergency Medical Transport (VAN)	Taxonomy 343900000X · Licence 11942515 (TX)
Transportation Broker	Taxonomy 347E00000X · Licence 11942515 (TX)

Record details

NPI number	1275843823
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	October 18, 2010
Last updated in NPPES	October 18, 2010