Provider Demographics
NPI:1730869819
Name:FATHER OLALLO LLC
Entity type:Organization
Organization Name:FATHER OLALLO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-253-7657
Mailing Address - Street 1:65 W 4TH ST APT 105
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4782
Mailing Address - Country:US
Mailing Address - Phone:786-253-7657
Mailing Address - Fax:
Practice Address - Street 1:65 W 4TH ST APT 105
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4782
Practice Address - Country:US
Practice Address - Phone:786-253-7657
Practice Address - Fax:786-542-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty