Lanre Hakeem Awesu, HHA

Individual provider Active NPI Home Health Aide · Riverdale, MD

NPI 1073867446 · NPPES record last updated Nov 6, 2012

Key facts

NPI
1073867446
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
5416 Kenilworth Ter Apt 3
Riverdale, MD 20737-3132
Phone
(202) 545-0935
Fax
(202) 545-0176
NPI assigned
Nov 6, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

5416 Kenilworth Ter Apt 3
Riverdale, MD 20737-3132

Mailing address

5416 Kenilworth Ter Apt 3
Riverdale, MD 20737-3132
Phone (202) 545-0935

Other providers in Riverdale, MD

All providers in Riverdale, MD · Home Health Aide in Maryland

Sources for this page

Verify at the official NPI Registry.