Provider Demographics
NPI:1215635586
Name:MAFOLUX HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:MAFOLUX HEALTHCARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:O
Authorized Official - Last Name:AFOLABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:872-302-9701
Mailing Address - Street 1:111 BARCLAY BLVD STE 372
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-3610
Mailing Address - Country:US
Mailing Address - Phone:708-943-7300
Mailing Address - Fax:708-943-7300
Practice Address - Street 1:111 BARCLAY BLVD STE 372
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-3610
Practice Address - Country:US
Practice Address - Phone:708-943-7300
Practice Address - Fax:708-943-7300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAFOLUX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care