Provider Demographics
NPI:1013734037
Name:BOURDILLON HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:BOURDILLON HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMINAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BABALOLA-OGUNSOLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, NP-C
Authorized Official - Phone:678-520-7332
Mailing Address - Street 1:1029 FABLE LN
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-3600
Mailing Address - Country:US
Mailing Address - Phone:678-520-7332
Mailing Address - Fax:
Practice Address - Street 1:1029 FABLE LN
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-3600
Practice Address - Country:US
Practice Address - Phone:678-520-7332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-21
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health