Provider Demographics
NPI:1598595993
Name:HEALING STRIPES HEALTHCARE LLC
Entity type:Organization
Organization Name:HEALING STRIPES HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWATOSIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MABAWONKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-727-0763
Mailing Address - Street 1:834 N 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:OR
Mailing Address - Zip Code:97113-8710
Mailing Address - Country:US
Mailing Address - Phone:971-727-0763
Mailing Address - Fax:
Practice Address - Street 1:834 N 18TH AVE
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:OR
Practice Address - Zip Code:97113-8710
Practice Address - Country:US
Practice Address - Phone:971-727-0763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health