Organization
MOG INTERNATIONAL LLC
Active
Other names
MOG HOME HEALTH CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLAYEMI OLUKANNI (OWNER/PARTNER)
(484) 278-4805
Entity
Organization
Contact information
Practice address
649 SOUTH AVE UNIT 8, SECANE, PA 19018-3541
(484) 278-4805
(484) 278-4806
Mailing address
649 SOUTH AVE UNIT 8, SECANE, PA 19018-3541
(484) 278-4805
(484) 278-4806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
05020501
PA
164W00000X
Licensed Practical Nurse
05020501
PA
225100000X
Physical Therapist
05020501
PA
225X00000X
Occupational Therapist
05020501
PA
235Z00000X
Speech-Language Pathologist
05020501
PA
251E00000X
Home Health Agency
Primary
05020501
PA
251F00000X
Home Infusion Agency
05020501
PA
251J00000X
Nursing Care Agency
05020501
PA
Other
Enumeration date
10/01/2013
Last updated
10/15/2024
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