Provider Demographics
NPI:1841446374
Name:BOKO GROUP SERVICES
Entity type:Organization
Organization Name:BOKO GROUP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-955-1349
Mailing Address - Street 1:505 BAINS ST
Mailing Address - Street 2:319A
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423-9317
Mailing Address - Country:US
Mailing Address - Phone:832-955-1349
Mailing Address - Fax:832-955-1060
Practice Address - Street 1:505 BAINS ST
Practice Address - Street 2:319A
Practice Address - City:BROOKSHIRE
Practice Address - State:TX
Practice Address - Zip Code:77423-9317
Practice Address - Country:US
Practice Address - Phone:832-955-1349
Practice Address - Fax:832-955-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health