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

Justine Fomukong

Individual provider Developmentally Disabled Services Day Training Agency · NPI 1467836676

Justine Fomukong is a Developmentally Disabled Services Day Training Agency in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
Specialties on file
3

Practice location Address checks out

2739 Cypress Island Dr
Houston, TX 77073-1601
Phone: (281) 780-1226
Fax: (281) 857-6729
Show map & directions

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

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 017805 (TX)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X · Licence 017805 (TX)
Personal Care Attendant Taxonomy 3747P1801X · Licence 017805 (TX)

Record details

NPI number1467836676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 17, 2015
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

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