Healthcare Provider Details

I. General information

NPI: 1255601340
Provider Name (Legal Business Name): OLNA'S HOME CARE AND CLEANING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2012
Last Update Date: 01/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 SW 106TH AVE
PEMBROKE PINES FL
33025-4785
US

IV. Provider business mailing address

1512 SW 106TH AVE
PEMBROKE PINES FL
33025-4785
US

V. Phone/Fax

Practice location:
  • Phone: 954-251-1720
  • Fax:
Mailing address:
  • Phone: 954-251-1720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ONLA VILSON
Title or Position: PRESIDENT
Credential:
Phone: 954-251-1720