Provider Demographics
NPI:1306710801
Name:AVIBRAN CARE
Entity type:Organization
Organization Name:AVIBRAN CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADEBANKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAYIWOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-955-5937
Mailing Address - Street 1:2144 LANDSMERE DR SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-2970
Mailing Address - Country:US
Mailing Address - Phone:404-955-5937
Mailing Address - Fax:404-955-5937
Practice Address - Street 1:2144 LANDSMERE DR SE
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-2970
Practice Address - Country:US
Practice Address - Phone:404-955-5937
Practice Address - Fax:404-955-5937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care