Provider Demographics
NPI:1194592733
Name:OLLY HOME HEALTH LLC
Entity type:Organization
Organization Name:OLLY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLANREWAJU
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BABAYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:161-462-2280
Mailing Address - Street 1:3233 HAIRST DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3714
Mailing Address - Country:US
Mailing Address - Phone:161-462-2280
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:3233 HAIRST DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3714
Practice Address - Country:US
Practice Address - Phone:161-462-2280
Practice Address - Fax:000-000-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health