Provider Demographics
NPI:1366157042
Name:SAFE PICC PLUS INC.
Entity type:Organization
Organization Name:SAFE PICC PLUS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:UJADUGHELE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:713-825-6445
Mailing Address - Street 1:11806 BETTYHILL CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3319
Mailing Address - Country:US
Mailing Address - Phone:281-633-6060
Mailing Address - Fax:
Practice Address - Street 1:11806 BETTYHILL CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3319
Practice Address - Country:US
Practice Address - Phone:281-633-6060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IMPACT HEALTHCARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-17
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy