Provider Demographics
NPI:1104341486
Name:OPTIMAL SERVICES LLC
Entity type:Organization
Organization Name:OPTIMAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:MOLOKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-686-4339
Mailing Address - Street 1:200 PINE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2091
Mailing Address - Country:US
Mailing Address - Phone:615-686-4339
Mailing Address - Fax:
Practice Address - Street 1:200 PINE ROCK CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2091
Practice Address - Country:US
Practice Address - Phone:615-686-4339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care