# ABAKE OLUBUKOLA OLUSANYA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFELINE HEALTHCARE SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831367861
- **Authorized official:** ABAKE OLUBUKOLA OLUSANYA (OWNER)
- **Authorized official phone:** (713) 589-5289

## Contact information

- **Practice address:** 9800 CENTRE PARKWAY, SUITE 655, HOUSTON, TX 77036-7854
- **Practice address phone:** (713) 589-5289
- **Mailing address:** 9800 CENTRE PKWY, SUITE 655, HOUSTON, TX 77036-8271
- **Mailing address phone:** (713) 589-5289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 011283 | TX | Yes |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 03/05/2012
