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Individual

MS. OLAWUMI O OLADEJI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
423 W WHEATLAND RD STE 102, DUNCANVILLE, TX 75116-4630
(469) 569-8087
(469) 375-3983
Mailing address
423 W WHEATLAND RD STE 102, DUNCANVILLE, TX 75116-4630
(469) 569-8087
(469) 375-3983

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
251X00000X
Supports Brokerage Agency
Primary
253Z00000X
In Home Supportive Care Agency
372500000X
Chore Provider

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073801437
CDS (FMSA)
TX
Enumeration date
12/09/2008
Last updated
02/06/2019
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