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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENEDICTA IZEGBOYA SOBANJO

Active Sole Proprietor

BENEDICTA IZEGBOYA SOBANJO is a Assisted Living Facility healthcare provider located in AUSTIN, Texas. NPI 1306574298 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · AUSTIN, TX

Registration Details

NPI Number
1306574298
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2022 (4.0325708046956 yrs)
Last Updated
Aug 10, 2022
Sole Proprietor
Yes

Practice Information

Address
12004 POLLYANNA AVE UNIT B
AUSTIN, TX, 787532242
Browse TX providers · Browse ZIP 78753
Phone
5129983561
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Providers in AUSTIN, TX

Name Credential NPI
KAREN MILLER 1861822926
DEMETRIS DIANE CARAWAY 1174402077
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.