Ishola Empire Incorporated

NPI #1487343547 in Orange, Texas

Provider Information

NPI Number: 1487343547
Entity Type: Organization
Organization Name: Ishola Empire Incorporated
Primary Specialty: Clinic/Center
Enumeration Date: May 4, 2023
Last Updated: May 26, 2023

Practice Location

Address: 118 AMARYLISS AVE
City: Orange
State: Texas
ZIP Code: 77630-4602
Phone: (850) 736-0779

Authorized Official

Name: MRS. MYISHOLA MATTHEWS
Title: DIRECTOR
Phone: (850) 736-0779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Voluntary or Charitable	251V00000X
Health Maintenance Organization	302R00000X
Clinic/Center	261Q00000X	Primary

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