Provider Demographics
NPI:1821499898
Name:CHIKEZIE CHRISTOPHER OKORORIE
Entity Type:Organization
Organization Name:CHIKEZIE CHRISTOPHER OKORORIE
Other - Org Name:EDEN RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IFEYINWA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKORORIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-207-6609
Mailing Address - Street 1:11905 SMITHTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6915
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11905 SMITHTON AVENUE
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6915
Practice Address - Country:US
Practice Address - Phone:972-207-6609
Practice Address - Fax:469-453-3474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001020084253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care