Organization
CEDARBLOOM, LLC
Active
Other names
ComForCare Home Care-Grapevine
Organization subpart
No
Provider details
NPI number
Authorized official
OLALEYE AUGUSTINE OLOWOOKERE RN (OWNER)
(312) 451-6917
Entity
Organization
Contact information
Practice address
4101 WILLIAM D TATE AVE STE 212, GRAPEVINE, TX 76051-5726
(312) 451-6917
Mailing address
4101 WILLIAM D TATE AVE STE 212, GRAPEVINE, TX 76051-5726
(312) 451-6917
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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