Ademola Hammed

Individual provider Active NPI Adult Care Home Facility · Melissa, TX

NPI 1861267486 · NPPES record last updated Nov 24, 2023

Key facts

NPI
1861267486
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
Practice address
2716 Garrison Dr
Melissa, TX 75454-9882
Phone
(701) 630-9696
NPI assigned
Nov 24, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

2716 Garrison Dr
Melissa, TX 75454-9882

Mailing address

2716 Garrison Dr
Melissa, TX 75454-9882
Phone (701) 630-9696

Other providers in Melissa, TX

All providers in Melissa, TX · Adult Care Home Facility in Texas

Sources for this page

Verify at the official NPI Registry.