Organization
BOLAD HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUBUNMI ADEBOLA OKETUNMBI RN (ADMINISTRATOR /OWNER)
(719) 406-9160
Entity
Organization
Contact information
Practice address
13828 SUTHERLAND SPRING LN, ROSHARON, TX 77583-2149
(719) 406-9160
Mailing address
13828 SUTHERLAND SPRING LN, ROSHARON, TX 77583
(346) 715-6084
(281) 595-7668
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
018630
TX
251G00000X
Community Based Hospice Care Agency
018630
TX
253Z00000X
In Home Supportive Care Agency
—
TX
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311ZA0620X
Adult Care Home Facility
—
—
3747P1801X
Personal Care Attendant
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
TX
Other
Enumeration date
08/27/2015
Last updated
05/22/2024
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