Provider Demographics
NPI:1740484906
Name:CHUNGO INC
Entity type:Organization
Organization Name:CHUNGO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:N
Authorized Official - Last Name:OKEADU
Authorized Official - Suffix:
Authorized Official - Credentials:MRS
Authorized Official - Phone:713-771-7333
Mailing Address - Street 1:10203 GOLDENVIEW PARK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2185
Mailing Address - Country:US
Mailing Address - Phone:713-771-7333
Mailing Address - Fax:713-771-3113
Practice Address - Street 1:10203 GOLDENVIEW PARK LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2185
Practice Address - Country:US
Practice Address - Phone:713-771-7333
Practice Address - Fax:713-771-3113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health