Provider Demographics
NPI:1124720933
Name:CELLIERS HEALTH CARE LLC
Entity type:Organization
Organization Name:CELLIERS HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GBENGA
Authorized Official - Middle Name:OLAWALE
Authorized Official - Last Name:OYEYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-812-0405
Mailing Address - Street 1:2211 FIELD LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5107
Mailing Address - Country:US
Mailing Address - Phone:682-812-0405
Mailing Address - Fax:
Practice Address - Street 1:2211 FIELD LN
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5107
Practice Address - Country:US
Practice Address - Phone:682-812-0405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health