Provider Demographics
NPI:1881341659
Name:OSHOLONGE, OLUFUNKE ADEOLA
Entity type:Individual
Prefix:
First Name:OLUFUNKE
Middle Name:ADEOLA
Last Name:OSHOLONGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FUNAB CARE INC
Mailing Address - Street 2:1342 BINFIELD DR
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126
Mailing Address - Country:US
Mailing Address - Phone:614-695-8865
Mailing Address - Fax:
Practice Address - Street 1:1342 BINFIELD DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:614-695-8865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion