Provider Demographics
NPI:1477302362
Name:TWINKLE WONDERS CARE PROVIDERS LLC
Entity type:Organization
Organization Name:TWINKLE WONDERS CARE PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANULI
Authorized Official - Middle Name:J
Authorized Official - Last Name:EZUMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-759-3451
Mailing Address - Street 1:2122 RIDGEWORTH LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6422
Mailing Address - Country:US
Mailing Address - Phone:832-759-3451
Mailing Address - Fax:
Practice Address - Street 1:2122 RIDGEWORTH LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6422
Practice Address - Country:US
Practice Address - Phone:832-759-3451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health