Provider Demographics
NPI:1518283647
Name:EFE ASSISTED LIVING CENTER, INC.
Entity Type:Organization
Organization Name:EFE ASSISTED LIVING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:IGBINOVIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-202-4100
Mailing Address - Street 1:10411 SAGEWICK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-3326
Mailing Address - Country:US
Mailing Address - Phone:832-202-4100
Mailing Address - Fax:281-993-8183
Practice Address - Street 1:5922 KENILWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-2134
Practice Address - Country:US
Practice Address - Phone:713-731-8224
Practice Address - Fax:281-993-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102622310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility