Provider Demographics
NPI:1417631425
Name:NJOKU, OBIANUJU QUEEN
Entity Type:Individual
Prefix:
First Name:OBIANUJU
Middle Name:QUEEN
Last Name:NJOKU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1073 E ESTATE RD
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-5420
Mailing Address - Country:US
Mailing Address - Phone:404-824-2475
Mailing Address - Fax:
Practice Address - Street 1:1073 E ESTATE RD
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85140-5420
Practice Address - Country:US
Practice Address - Phone:404-824-2475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL10279H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility