Organization
BALM OF GILEAD HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUBODE OLATUNJI (PRESIDENT)
(813) 428-4300
Entity
Organization
Contact information
Practice address
505 AVENUE A NW # W, WINTER HAVEN, FL 33881-4650
(813) 428-4300
Mailing address
6611 US HIGHWAY 19 STE 207, NEW PORT RICHEY, FL 34652-1732
(813) 428-4300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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