MEDICARE: OSOLIFE HOME HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	457819	TX

General Provider Information

NPI Number	:	1407047087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSOLIFE HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	5708 ROCKPORT LN
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76137-2123
Country	:	US
Telephone Number	:	817-673-1030
Fax Number	:	817-788-4506

Provider Business Practice Location Address
First Line	:	5708 ROCKPORT LN
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76137-2123
Country	:	US
Telephone Number	:	817-673-1030
Fax Number	:	817-788-4506

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. OBIH CHRISTIAN OSONDU
Credential	:	HND ADMINISTRATION
Telephone Number	:	817-673-1030

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	01/31/2008

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Directions to “OSOLIFE HOME HEALTH SERVICES ” Practice Location

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