Provider Demographics
NPI:1619426392
Name:TUNLAB HOME HEALTH AGENCY INC.
Entity Type:Organization
Organization Name:TUNLAB HOME HEALTH AGENCY INC.
Other - Org Name:TUNLAB HOMEMAKER AND COMPANION SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLATUNJI
Authorized Official - Middle Name:O
Authorized Official - Last Name:BANKOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-331-7697
Mailing Address - Street 1:6724 CAMELIA DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4847
Mailing Address - Country:US
Mailing Address - Phone:754-246-8437
Mailing Address - Fax:
Practice Address - Street 1:6724 CAMELIA DRIVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023
Practice Address - Country:US
Practice Address - Phone:754-246-8437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20080251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services