Provider Demographics
NPI:1720378417
Name:RONAB HEALTHCARE, INC.
Entity Type:Organization
Organization Name:RONAB HEALTHCARE, INC.
Other - Org Name:RONAB HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:WOGHIREN-ESSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-508-6416
Mailing Address - Street 1:2714 ASHFORD TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2123
Mailing Address - Country:US
Mailing Address - Phone:281-508-6416
Mailing Address - Fax:281-809-0667
Practice Address - Street 1:2714 ASHFORD TRAIL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2123
Practice Address - Country:US
Practice Address - Phone:281-508-6416
Practice Address - Fax:281-809-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities