Provider Demographics
NPI:1235968066
Name:GIMBU, YOLANDER
Entity type:Individual
Prefix:MS
First Name:YOLANDER
Middle Name:
Last Name:GIMBU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14173 NORTHWEST FWY # 237
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-5013
Mailing Address - Country:US
Mailing Address - Phone:281-258-1596
Mailing Address - Fax:
Practice Address - Street 1:14173 NORTHWEST FWY # 237
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5013
Practice Address - Country:US
Practice Address - Phone:281-258-1596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home