Provider Demographics
NPI:1336622794
Name:OFEMZ HOME HEALTHCARE AGENCY, LLC
Entity Type:Organization
Organization Name:OFEMZ HOME HEALTHCARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ODUN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:OWOLABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-820-0908
Mailing Address - Street 1:904 HANOVER ST STE 4
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-5413
Mailing Address - Country:US
Mailing Address - Phone:603-820-0908
Mailing Address - Fax:603-218-7171
Practice Address - Street 1:904 HANOVER ST STE 4
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-5413
Practice Address - Country:US
Practice Address - Phone:603-820-0908
Practice Address - Fax:603-218-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Yes251E00000XAgenciesHome Health