Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benedicta Izegboya Sobanjo

Individual provider Assisted Living Facility · NPI 1306574298

Benedicta Izegboya Sobanjo is an Assisted Living Facility in Austin, Texas. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12004 Pollyanna Ave Unit B
Austin, TX 78753-2242
Phone: (512) 998-3561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1306574298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 10, 2022
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022
Mailing address12004 Pollyanna Ave Unit B, Austin, TX 78753-2242

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