Provider Demographics
NPI:1699858076
Name:VICTORIA N. AGBAROJI
Entity Type:Organization
Organization Name:VICTORIA N. AGBAROJI
Other - Org Name:NGOZI HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER /C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBAROJI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-274-6922
Mailing Address - Street 1:231A E BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5703
Mailing Address - Country:US
Mailing Address - Phone:972-274-6922
Mailing Address - Fax:972-274-6932
Practice Address - Street 1:231A E BELT LINE RD
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5703
Practice Address - Country:US
Practice Address - Phone:972-274-6922
Practice Address - Fax:972-274-6932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011481251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based