MEDICARE: OLAM HOLDINGS

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1871987636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLAM HOLDINGS

Provider Business Mailing Address
First Line	:	2386 S DAIRY ASHFORD RD
Second Line	:	STE. 532
City	:	HOUSTON
State	:	TX
Zip	:	77077-5739
Country	:	US
Telephone Number	:	832-606-6808
Fax Number	:	281-784-3583

Provider Business Practice Location Address
First Line	:	2386 S DAIRY ASHFORD RD
Second Line	:	STE. 532
City	:	HOUSTON
State	:	TX
Zip	:	77077-5739
Country	:	US
Telephone Number	:	832-606-6808
Fax Number	:	281-784-3583

Authorized Official
Title or Position	:	MANAGER
Name	:	MISS BOLAJI O ALAWOYA
Credential	:
Telephone Number	:	832-606-6808

Provider Enumeration Date	:	03/19/2015
Last Update Date	:	03/19/2015

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