Provider Demographics
NPI:1659812527
Name:OBYKE HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:OBYKE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKPALOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-948-6080
Mailing Address - Street 1:3028 GENTILLY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-3808
Mailing Address - Country:US
Mailing Address - Phone:504-948-6080
Mailing Address - Fax:504-948-6089
Practice Address - Street 1:3028 GENTILLY BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-3808
Practice Address - Country:US
Practice Address - Phone:504-948-6080
Practice Address - Fax:504-948-6089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6961302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization