Provider Demographics
NPI:1477350957
Name:BABALOLA, BAISAT (CEO)
Entity type:Individual
Prefix:
First Name:BAISAT
Middle Name:
Last Name:BABALOLA
Suffix:
Gender:
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6148 CREEKHAVEN DR APT 5
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-1975
Mailing Address - Country:US
Mailing Address - Phone:216-424-0868
Mailing Address - Fax:
Practice Address - Street 1:6148 CREEKHAVEN DR APT 5
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-1975
Practice Address - Country:US
Practice Address - Phone:216-424-0868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker