MEDICARE: OLUFEMI AINA

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	010280	TX

General Provider Information

NPI Number	:	1538342548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLUFEMI AINA

Provider Business Mailing Address
First Line	:	10935 ESTATE LN
Second Line	:	STE 100J
City	:	DALLAS
State	:	TX
Zip	:	75238-2316
Country	:	US
Telephone Number	:	972-553-0592
Fax Number	:	972-553-9271

Provider Business Practice Location Address
First Line	:	10935 ESTATE LN
Second Line	:	STE 100J
City	:	DALLAS
State	:	TX
Zip	:	75238-2316
Country	:	US
Telephone Number	:	972-553-0592
Fax Number	:	972-553-9271

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	OLUFEMI AINA
Credential	:	RN
Telephone Number	:	972-553-0592

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	10/17/2008

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Directions to “OLUFEMI AINA ” Practice Location

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