Gbenga Omotayo Valid NPI
Individual provider · In Home Supportive Care Agency · Winder, GA
- NPI
- 1982568606
- Type
- Individual (Type 1)
- Primary specialty
- In Home Supportive Care Agency (In Home Supportive Care)
- Specialty group
- Agencies
- Taxonomy code
- 253Z00000X
- License number
- PHCP044197 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2025-12-16
- Last updated
- 2025-12-16
Practice location
252 Blue Iris Ct
Winder, GA 30680-4389
(404) 989-7102