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NPI Code Detail

MEDICARE: MEDINEEDS MEDTOUR LLC

MEDICARE: MEDINEEDS MEDTOUR LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1992514616
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDINEEDS MEDTOUR LLC
Provider Business Mailing Address
First Line : 2611 S CLARK ST STE 600
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-4023
Country : US
Telephone Number : 703-972-5004
Fax Number : 703-995-4846
Provider Business Practice Location Address
First Line : 2611 S CLARK ST STE 600
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-4016
Country : US
Telephone Number : 240-755-3272
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : DR. OLAMIDOTUN OMOLOSO
Credential :
Telephone Number : 240-755-3272
Provider Enumeration Date : 01/07/2025
Last Update Date : 05/04/2026

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Directions to “MEDINEEDS MEDTOUR LLC ” Practice Location

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