MEDICARE: OLUFUNMILAYO ESTHER OLAOSEBIKAN

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	0223202303	GA

General Provider Information

NPI Number	:	1144171455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUFUNMILAYO ESTHER OLAOSEBIKAN

Provider Business Mailing Address
First Line	:	118 CAMDEN PARK DR
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-0177
Country	:	US
Telephone Number	:	404-960-4435
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 CAMDEN PARK DR
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-0177
Country	:	US
Telephone Number	:	404-960-4435
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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