Provider Demographics
NPI:1528712635
Name:SAMDEK HEALTH SERVICES,LLC
Entity type:Organization
Organization Name:SAMDEK HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMINAT
Authorized Official - Middle Name:M
Authorized Official - Last Name:OLAYENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-491-6721
Mailing Address - Street 1:25419 WESTERN SAGE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7876
Mailing Address - Country:US
Mailing Address - Phone:346-491-6721
Mailing Address - Fax:
Practice Address - Street 1:25419 WESTERN SAGE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7876
Practice Address - Country:US
Practice Address - Phone:346-491-6721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health