Provider Demographics
NPI:1366835001
Name:OMO CRAFTS GLOBAL
Entity Type:Organization
Organization Name:OMO CRAFTS GLOBAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OGONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYABOLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-606-6135
Mailing Address - Street 1:119 E JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-1614
Mailing Address - Country:US
Mailing Address - Phone:404-606-6135
Mailing Address - Fax:
Practice Address - Street 1:580 GRANT AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-1329
Practice Address - Country:US
Practice Address - Phone:484-606-6135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies