Provider Demographics
NPI:1508189010
Name:YEKIBOLA INC
Entity Type:Organization
Organization Name:YEKIBOLA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YEKINI
Authorized Official - Middle Name:OLAWALE
Authorized Official - Last Name:ANIMASHAUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-321-9150
Mailing Address - Street 1:10114 STELLA LINK RD STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5304
Mailing Address - Country:US
Mailing Address - Phone:877-321-9150
Mailing Address - Fax:713-218-9158
Practice Address - Street 1:10114 STELLA LINK RD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5304
Practice Address - Country:US
Practice Address - Phone:877-321-9150
Practice Address - Fax:713-218-9158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health