Individual provider · NPI-1

Adeniyi Olubunmi Adeoye, Owner

Home Health Aide · Cedar Hill, TX

NPI number1073119640

StatusActive

Last updated in NPPESDec 16, 2020

Details

NPI: 1073119640
Entity type: Individual (NPI-1)
Name: Adeniyi Olubunmi Adeoye
Credential: Owner
Sex: Male
Sole proprietor: No
Enumeration date: Dec 9, 2020
Certification date: Dec 16, 2020
Last updated: Dec 16, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
374U00000X	Home Health Aide	020255	TX	Yes
376K00000X	Nurse's Aide	020255	TX
372600000X	Adult Companion	020255	TX

Practice location

610 Uptown Blvd
Cedar Hill, TX 75104-3527

Phone 401-699-9989 · Fax 214-988-1301

Mailing address

2824 Pino
Grand Prairie, TX 75054-0108

Phone 401-626-8800 · Fax 214-988-1301

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