Provider Demographics
NPI:1104287358
Name:FEMFOL GROUP INCORPORATED
Entity type:Organization
Organization Name:FEMFOL GROUP INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWAFEMI
Authorized Official - Middle Name:OLAYINKA
Authorized Official - Last Name:GBENJO
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, LSW
Authorized Official - Phone:775-772-5283
Mailing Address - Street 1:1655 JEWEL RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-5790
Mailing Address - Country:US
Mailing Address - Phone:775-772-5283
Mailing Address - Fax:775-971-9955
Practice Address - Street 1:1655 JEWEL RIDGE CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-5790
Practice Address - Country:US
Practice Address - Phone:775-772-5283
Practice Address - Fax:775-971-9955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005037724Medicaid