Provider Demographics
NPI:1902257744
Name:OLUREMILEKUN DAODU R.N.
Entity Type:Organization
Organization Name:OLUREMILEKUN DAODU R.N.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VISITING NURSE
Authorized Official - Prefix:
Authorized Official - First Name:OLUREMILEKUN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAODU
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:510-878-7951
Mailing Address - Street 1:2450 WASHINGTON AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-5979
Mailing Address - Country:US
Mailing Address - Phone:510-878-7951
Mailing Address - Fax:510-560-2447
Practice Address - Street 1:814 14TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3247
Practice Address - Country:US
Practice Address - Phone:510-878-7951
Practice Address - Fax:510-560-2447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497193251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care