Provider Demographics
NPI:1831541655
Name:OLAY HOME AND FACILITY BATH SERVICES
Entity type:Organization
Organization Name:OLAY HOME AND FACILITY BATH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDETN
Authorized Official - Prefix:
Authorized Official - First Name:MADJA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-732-3784
Mailing Address - Street 1:3718 N SAINT LUCIE DR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-4614
Mailing Address - Country:US
Mailing Address - Phone:407-732-3784
Mailing Address - Fax:
Practice Address - Street 1:3718 N SAINT LUCIE DR
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-4614
Practice Address - Country:US
Practice Address - Phone:407-732-3784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-05
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health