Provider Demographics
NPI:1467898965
Name:FINS HEALTHCARE AGENCY INC
Entity Type:Organization
Organization Name:FINS HEALTHCARE AGENCY INC
Other - Org Name:FINS HEALTHCARE AGENCY INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IDAYAT
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAOYE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-612-1144
Mailing Address - Street 1:17347 LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-3342
Mailing Address - Country:US
Mailing Address - Phone:706-612-1144
Mailing Address - Fax:
Practice Address - Street 1:17347 LOUIS AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-3342
Practice Address - Country:US
Practice Address - Phone:706-612-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-12
Last Update Date:2013-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health