Vanessa Obaseki

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1275843823

Vanessa Obaseki is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sugarland, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in: TX
In the registry since: 2010
Specialties on file: 3

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Practice location Address checks out

2619 Pine Shadow
Sugarland, TX 77479
Phone: (281) 546-8634
Fax: (713) 746-7446

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

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X
Non-emergency Medical Transport (VAN)	Taxonomy 343900000X · Licence 11942515 (TX)
Transportation Broker	Taxonomy 347E00000X · Licence 11942515 (TX)

Record details

NPI number	1275843823
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	October 18, 2010
Last updated in NPPES	October 18, 2010
Mailing address	2619 Pine Shadow, Sugarland, TX 77479