Provider Demographics
NPI:1386934024
Name:OAKLEAF HOME HEALTH AGENCY, INC
Entity type:Organization
Organization Name:OAKLEAF HOME HEALTH AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LA-VERNE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-237-4773
Mailing Address - Street 1:3590 S STATE ROAD 7
Mailing Address - Street 2:SUITE 33
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5284
Mailing Address - Country:US
Mailing Address - Phone:954-237-4773
Mailing Address - Fax:877-802-0651
Practice Address - Street 1:3590 S STATE ROAD 7
Practice Address - Street 2:SUITE 33
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5284
Practice Address - Country:US
Practice Address - Phone:954-237-4773
Practice Address - Fax:877-802-0651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health