Provider Demographics
NPI:1073098075
Name:EXPERT LIVING SERVICES INC
Entity Type:Organization
Organization Name:EXPERT LIVING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIMDIKE
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:OGBONNAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-867-8447
Mailing Address - Street 1:17014 BLUE MIST DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-1957
Mailing Address - Country:US
Mailing Address - Phone:832-867-8447
Mailing Address - Fax:281-670-5042
Practice Address - Street 1:17014 BLUE MIST DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-1957
Practice Address - Country:US
Practice Address - Phone:832-867-8447
Practice Address - Fax:281-670-5042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness