Provider Demographics
NPI:1902412125
Name:JOSELLA INVESTMENT LLC
Entity Type:Organization
Organization Name:JOSELLA INVESTMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADESOLA
Authorized Official - Middle Name:W
Authorized Official - Last Name:OLUTAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-478-2758
Mailing Address - Street 1:3831 TARRAGON BEND DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2618
Mailing Address - Country:US
Mailing Address - Phone:713-478-2758
Mailing Address - Fax:
Practice Address - Street 1:3831 TARRAGON BEND DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2618
Practice Address - Country:US
Practice Address - Phone:713-478-2758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service