Provider Demographics
NPI:1659123685
Name:NDOLO HEALTH CARE LLC
Entity Type:Organization
Organization Name:NDOLO HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERNESTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIKAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-774-7244
Mailing Address - Street 1:19123 OLD CROW LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1985
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19123 OLD CROW LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1985
Practice Address - Country:US
Practice Address - Phone:832-774-7244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251J00000XAgenciesNursing Care