Provider Demographics
NPI:1023382363
Name:RYZOLVE LLC
Entity Type:Organization
Organization Name:RYZOLVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:OLUBUKUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNDEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-557-2791
Mailing Address - Street 1:9309 STATE HIGHWAY 75 S
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW WAVERLY
Mailing Address - State:TX
Mailing Address - Zip Code:77358-4247
Mailing Address - Country:US
Mailing Address - Phone:713-557-2791
Mailing Address - Fax:800-295-5512
Practice Address - Street 1:9309 STATE HIGHWAY 75 S
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW WAVERLY
Practice Address - State:TX
Practice Address - Zip Code:77358-4247
Practice Address - Country:US
Practice Address - Phone:713-557-2791
Practice Address - Fax:800-295-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014937251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health