Provider Demographics
NPI:1619134566
Name:TALOJUOLUWA RASAQ INCORPORATED
Entity Type:Organization
Organization Name:TALOJUOLUWA RASAQ INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLASUMBO
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:OGUNYOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-448-9670
Mailing Address - Street 1:PO BOX 720843
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77272-0843
Mailing Address - Country:US
Mailing Address - Phone:713-448-9670
Mailing Address - Fax:
Practice Address - Street 1:11555 BISSONNET ST
Practice Address - Street 2:SUITE 1015
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-5500
Practice Address - Country:US
Practice Address - Phone:713-448-9670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800972942251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health