Provider Demographics
NPI:1598396343
Name:FORHEEM CARE SERVICES
Entity Type:Organization
Organization Name:FORHEEM CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GBENGA
Authorized Official - Middle Name:
Authorized Official - Last Name:OYETAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-815-7028
Mailing Address - Street 1:623 MACDADE BLVD
Mailing Address - Street 2:
Mailing Address - City:COLLINGDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19023-3417
Mailing Address - Country:US
Mailing Address - Phone:484-494-6809
Mailing Address - Fax:610-537-5099
Practice Address - Street 1:623 MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023-3417
Practice Address - Country:US
Practice Address - Phone:484-494-6809
Practice Address - Fax:610-537-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health