Provider Demographics
NPI:1619037371
Name:DESAFARY HEALTHCARE INC
Entity Type:Organization
Organization Name:DESAFARY HEALTHCARE INC
Other - Org Name:DESAFARY HEALTHCARE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DELPHINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:AMUNEKE-OTUFALE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-344-8475
Mailing Address - Street 1:9727 MCKINNEY LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6344
Mailing Address - Country:US
Mailing Address - Phone:713-344-8475
Mailing Address - Fax:713-728-2230
Practice Address - Street 1:9727 MCKINNEY LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6344
Practice Address - Country:US
Practice Address - Phone:713-344-8475
Practice Address - Fax:713-728-2230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health