Provider Demographics
NPI:1922443415
Name:EVANGEL ENTERPRISES,IINC
Entity Type:Organization
Organization Name:EVANGEL ENTERPRISES,IINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NNAEMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUNZE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-334-8080
Mailing Address - Street 1:6001 SAVOY DR
Mailing Address - Street 2:#302
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3364
Mailing Address - Country:US
Mailing Address - Phone:713-334-8080
Mailing Address - Fax:
Practice Address - Street 1:6001 SAVOY DR
Practice Address - Street 2:#302
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3364
Practice Address - Country:US
Practice Address - Phone:713-334-8080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances