Provider Demographics
NPI:1255884235
Name:JANET O. OLABODE
Entity type:Organization
Organization Name:JANET O. OLABODE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL STAFFING AND VENDOR SPECIA
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-224-4464
Mailing Address - Street 1:185 BROWN AVE
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2503
Mailing Address - Country:US
Mailing Address - Phone:732-634-5431
Mailing Address - Fax:
Practice Address - Street 1:185 BROWN AVE
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2503
Practice Address - Country:US
Practice Address - Phone:732-634-5431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00638400251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health