Provider Demographics
NPI:1164705703
Name:DEEMAG INC
Entity Type:Organization
Organization Name:DEEMAG INC
Other - Org Name:DEEMAG QUALITY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:O
Authorized Official - Last Name:ATOYEBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-641-9747
Mailing Address - Street 1:5730 TIMBER CREEK PLACE DR
Mailing Address - Street 2:#813
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5314
Mailing Address - Country:US
Mailing Address - Phone:832-641-9747
Mailing Address - Fax:
Practice Address - Street 1:5730 TIMBER CREEK PLACE DR
Practice Address - Street 2:#813
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5314
Practice Address - Country:US
Practice Address - Phone:832-641-9747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities