Provider Demographics
NPI:1750694758
Name:MARGARET OLUBUYI
Entity type:Organization
Organization Name:MARGARET OLUBUYI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:AYIEKO
Authorized Official - Last Name:OLUBUYI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-748-2585
Mailing Address - Street 1:3603 BAINBRIDGE ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-4157
Mailing Address - Country:US
Mailing Address - Phone:281-748-2585
Mailing Address - Fax:
Practice Address - Street 1:3603 BAINBRIDGE ESTATES DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-4157
Practice Address - Country:US
Practice Address - Phone:281-748-2585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child