NPI 1194618892

Wasiu a Omotayo

Practitioner Nursing Home Administrator Milwaukee, WI

Practice location

Address: 5414 W Villard Ave, Milwaukee, WI 53218-4224
Phone: (414) 241-2446

Registered specialties (2)

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X

Other Nursing Home Administrator providers in Wisconsin →

Nursing Care Agency

Agencies Taxonomy 251J00000X

Other Nursing Care providers in Wisconsin →

Registry record

NPI: 1194618892
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2025
Record last updated: 18 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.