Provider Demographics
NPI:1932521671
Name:NISSI THERAPEUTIC AND REHAB SERVICES
Entity type:Organization
Organization Name:NISSI THERAPEUTIC AND REHAB SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:FOLASADE
Authorized Official - Middle Name:ADUNOLA
Authorized Official - Last Name:AKINTUNDE-OJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-782-1528
Mailing Address - Street 1:8700 COMMERCE PARK DR
Mailing Address - Street 2:STE 145
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7497
Mailing Address - Country:US
Mailing Address - Phone:713-782-1528
Mailing Address - Fax:713-782-1359
Practice Address - Street 1:8700 COMMERCE PARK DR
Practice Address - Street 2:STE 145
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7497
Practice Address - Country:US
Practice Address - Phone:713-782-1528
Practice Address - Fax:713-782-1359
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J-NISSI GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health