Provider Demographics
NPI:1780073452
Name:OYIN'DA LLC
Entity type:Organization
Organization Name:OYIN'DA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KHAFILAT
Authorized Official - Middle Name:OYINDAMOLA
Authorized Official - Last Name:ADESOKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-730-9914
Mailing Address - Street 1:5551 LATTA PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1557
Mailing Address - Country:US
Mailing Address - Phone:281-730-9914
Mailing Address - Fax:
Practice Address - Street 1:5551 LATTA PLANTATION DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1557
Practice Address - Country:US
Practice Address - Phone:281-730-9914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-17
Last Update Date:2015-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child