Provider Demographics
NPI:1003516360
Name:OLEA HEALTH SERVICES
Entity Type:Organization
Organization Name:OLEA HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TEMITOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-818-0349
Mailing Address - Street 1:1303 LIMIT AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-3135
Mailing Address - Country:US
Mailing Address - Phone:352-818-0349
Mailing Address - Fax:
Practice Address - Street 1:1303 LIMIT AVE STE 205
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-3135
Practice Address - Country:US
Practice Address - Phone:352-818-0349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care