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Individual
SAMUEL OLUKUNLE OLUWOLE
Active
Individual
SAMUEL OLUKUNLE OLUWOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
TN
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-3482472
86-3482472
TN
Enumeration date
05/31/2022
Last updated
05/31/2022
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