Provider Demographics
NPI:1790109171
Name:IGWET HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:IGWET HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKINMADEWA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-677-4667
Mailing Address - Street 1:17910 COLDALE GLEN LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3373
Mailing Address - Country:US
Mailing Address - Phone:832-677-4667
Mailing Address - Fax:832-538-0971
Practice Address - Street 1:17910 COLDALE GLEN LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3373
Practice Address - Country:US
Practice Address - Phone:832-677-4667
Practice Address - Fax:832-538-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty