Organization
ABAKE OLUBUKOLA OLUSANYA
Active
Other names
LIFELINE HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ABAKE OLUBUKOLA OLUSANYA (OWNER)
(713) 589-5289
Entity
Organization
Contact information
Practice address
9800 CENTRE PARKWAY, SUITE 655, HOUSTON, TX 77036-7854
(713) 589-5289
Mailing address
9800 CENTRE PKWY, SUITE 655, HOUSTON, TX 77036-8271
(713) 589-5289
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011283
STATE LICENSE
TX
Enumeration date
02/12/2008
Last updated
03/05/2012
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