Provider Demographics
NPI:1831949114
Name:PENUEL BUSINESS MANAGEMENT LLC
Entity type:Organization
Organization Name:PENUEL BUSINESS MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:OLUBUKOLA
Authorized Official - Last Name:OLUWASANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-662-6867
Mailing Address - Street 1:3435 ZEPHYR GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7091
Mailing Address - Country:US
Mailing Address - Phone:281-372-9825
Mailing Address - Fax:
Practice Address - Street 1:3435 ZEPHYR GLEN WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7091
Practice Address - Country:US
Practice Address - Phone:281-372-9825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)