Provider Demographics
NPI:1720312499
Name:JESTCO HEALTH CARE INC.
Entity Type:Organization
Organization Name:JESTCO HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OKUKPE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-414-8799
Mailing Address - Street 1:2118 SILVER LEAF DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5027
Mailing Address - Country:US
Mailing Address - Phone:281-414-8799
Mailing Address - Fax:
Practice Address - Street 1:2118 SILVER LEAF DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5027
Practice Address - Country:US
Practice Address - Phone:281-414-8799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health