Provider Demographics
NPI:1275810939
Name:MY TEES HOME HEALTHCARE
Entity Type:Organization
Organization Name:MY TEES HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLATUNJI
Authorized Official - Middle Name:O
Authorized Official - Last Name:OBIKUNLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-940-9393
Mailing Address - Street 1:5454 CLEVELAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231
Mailing Address - Country:US
Mailing Address - Phone:614-568-0029
Mailing Address - Fax:614-568-0029
Practice Address - Street 1:5454 CLEVELAND AVENUE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231
Practice Address - Country:US
Practice Address - Phone:614-568-0029
Practice Address - Fax:614-568-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health