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Idayat Obisesan
Home Health Agency in Stratford, Connecticut
NPI 1306207295

Idayat Obisesan is a Home Health Agency based in Stratford, CT. Idayat Obisesan practices in Stratford, CT. The NPI Number for Idayat Obisesan is 1306207295 and holds a License No. (Connecticut).

The current practice location address for Idayat Obisesan is 250 Boston Ave, Stratford, CT and can be reached out via phone at 929-336-9455.

Location: 250 Boston Ave, Stratford, CT, 06614-5211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306207295
Provider Name
Idayat Obisesan
Credential
Provider Entity Type
Individual
Gender
Female
Address
250 Boston Ave, Stratford, CT, 06614-5211
Phone Number
929-336-9455
Fax Number
Provider Enumeration Date
03/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
250 Boston Ave
City
Stratford
State
Connecticut
Zip
06614-5211
Phone Number
929-336-9455
Fax Number
person
Provider Business Mailing Address Details
Address
250 Boston Ave
City
Stratford
State
Connecticut
Zip
06614-5211
Phone Number
929-336-9455
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Connecticut)
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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