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Mr. Samson Folorunsho Omosowon, RN,CSCM
Home Health Agency in Gilbert, Arizona
NPI 1154676021

Samson Folorunsho Omosowon is a Home Health Agency based in Gilbert, AZ. Samson Folorunsho Omosowon practices in Gilbert, AZ and has the professional credentials of RN,CSCM. The NPI Number for Samson Folorunsho Omosowon is 1154676021 and holds a License No. RN156392 (Arizona).

The current practice location address for Samson Folorunsho Omosowon is 4078 E Aspen Way, Gilbert, AZ and can be reached out via phone at 480-335-3099 and via fax at 480-621-8748.

Location: 4078 E Aspen Way, Gilbert, AZ, 85234-7506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154676021
Provider Name
Samson Folorunsho Omosowon
Credential
RN,CSCM
Provider Entity Type
Individual
Gender
Male
Address
4078 E Aspen Way, Gilbert, AZ, 85234-7506
Phone Number
480-335-3099
Fax Number
480-621-8748
Provider Enumeration Date
07/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
658864 05 AZ
RN156392 05 AZ
institution
Provider Business Practice Location Address Details
Address
4078 E Aspen Way
City
Gilbert
State
Arizona
Zip
85234-7506
Phone Number
480-335-3099
Fax Number
480-621-8748
person
Provider Business Mailing Address Details
Address
4078 E Aspen Way
City
Gilbert
State
Arizona
Zip
85234-7506
Phone Number
480-335-3099
Fax Number
480-621-8748
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
RN156392 (Arizona)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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