Individual
OLAMIDE OBILANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 SHILLING AVE, MALVERN, PA 19355-3268
(267) 324-9744
Mailing address
114 SHILLING AVE, MALVERN, PA 19355-3268
(267) 324-9744
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
38793601
PA
Other
Enumeration date
12/17/2018
Last updated
03/02/2023
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