Provider Demographics
NPI:1346860020
Name:BOD HEALTH CARE SERVICE
Entity Type:Organization
Organization Name:BOD HEALTH CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEGUN
Authorized Official - Middle Name:O
Authorized Official - Last Name:ILORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-566-3339
Mailing Address - Street 1:10729 SANDPIPER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5413
Mailing Address - Country:US
Mailing Address - Phone:832-566-3339
Mailing Address - Fax:
Practice Address - Street 1:10729 SANDPIPER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-5413
Practice Address - Country:US
Practice Address - Phone:832-566-3339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health