Provider Demographics
NPI:1942327911
Name:ELIZABETH EVBUOMWAN
Entity Type:Organization
Organization Name:ELIZABETH EVBUOMWAN
Other - Org Name:EXCEL PLUS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:EVBUOMWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-550-8516
Mailing Address - Street 1:15930 MISTY HEATH LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7551
Mailing Address - Country:US
Mailing Address - Phone:281-550-8516
Mailing Address - Fax:281-463-0283
Practice Address - Street 1:15930 MISTY HEATH LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7551
Practice Address - Country:US
Practice Address - Phone:281-550-8516
Practice Address - Fax:281-463-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011766251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health