Provider Demographics
NPI:1366678799
Name:FUNMILAYO OLADUN
Entity Type:Organization
Organization Name:FUNMILAYO OLADUN
Other - Org Name:KFA HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-205-3602
Mailing Address - Street 1:7125 MARVIN D LOVE FWY
Mailing Address - Street 2:SUITE 302A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3175
Mailing Address - Country:US
Mailing Address - Phone:214-205-3602
Mailing Address - Fax:972-709-7244
Practice Address - Street 1:7125 MARVIN D LOVE FWY
Practice Address - Street 2:SUITE 302A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237
Practice Address - Country:US
Practice Address - Phone:214-205-3602
Practice Address - Fax:972-709-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management