Provider Demographics
NPI:1215612049
Name:ALLYDERS HEALTH
Entity type:Organization
Organization Name:ALLYDERS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLATUNJI
Authorized Official - Middle Name:OGUNWOLE
Authorized Official - Last Name:ABIMBOLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:301-974-1511
Mailing Address - Street 1:2025 RAY LEONARD RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4226
Mailing Address - Country:US
Mailing Address - Phone:301-974-1511
Mailing Address - Fax:
Practice Address - Street 1:11207 CHASE ST UNIT 2
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2415
Practice Address - Country:US
Practice Address - Phone:301-974-1511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care