Provider Demographics
NPI:1558749861
Name:COMMUNITY HEALTHCARE NETWORK
Entity Type:Organization
Organization Name:COMMUNITY HEALTHCARE NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-639-7264
Mailing Address - Street 1:9050 PINES BLVD
Mailing Address - Street 2:SUITE 362A
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6455
Mailing Address - Country:US
Mailing Address - Phone:954-639-7264
Mailing Address - Fax:954-499-4211
Practice Address - Street 1:9050 PINES BLVD
Practice Address - Street 2:SUITE 362A
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6455
Practice Address - Country:US
Practice Address - Phone:954-639-7264
Practice Address - Fax:954-499-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health