Healthcare Provider Details

I. General information

NPI: 1801841440
Provider Name (Legal Business Name): OLFF,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4121 N 10TH ST # 400
MCALLEN TX
78504-3004
US

IV. Provider business mailing address

4121 N 10TH ST # 400
MCALLEN TX
78504-3004
US

V. Phone/Fax

Practice location:
  • Phone: 956-345-5782
  • Fax:
Mailing address:
  • Phone: 956-345-5782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number010348
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number009335
License Number StateTX

VIII. Authorized Official

Name: FRANCISCO FLORES
Title or Position: OWNER
Credential:
Phone: 956-345-5782