Provider Demographics
NPI:1487890125
Name:ST PATRICK INC
Entity type:Organization
Organization Name:ST PATRICK INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WALEOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEBOWALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-532-7586
Mailing Address - Street 1:12808 W AIRPORT BLVD STE 327
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6191
Mailing Address - Country:US
Mailing Address - Phone:832-228-0290
Mailing Address - Fax:281-762-0049
Practice Address - Street 1:12808 W AIRPORT BLVD STE 327
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6191
Practice Address - Country:US
Practice Address - Phone:832-228-0290
Practice Address - Fax:281-762-0049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-31
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health