Olufunso K Fakunle
Individual provider Active NPI Home Health Aide · Forestville, MD
NPI 1114277183 · NPPES record last updated Sep 17, 2012
Key facts
- NPI
- 1114277183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 8409 Laura LN
Forestville, MD 20747-2586 - Phone
- (202) 635-6006
- NPI assigned
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
8409 Laura LN
Forestville, MD 20747-2586
Mailing address
8409 Laura LN
Forestville, MD 20747-2586
Phone (202) 635-6006
Other providers in Forestville, MD
- Judith Ann Edghill
- Lisa S Eley
- Essential Chiropractic
- Jonniel Marquez Estrella
- Eric Evans
- Family Home Medical Equipment and Supplies
- Shinise Fields
- Forestville Nursing and Rehab Center LLC
- Gabrielle Lashell Gafford
- Gentle Touch Senior Care
All providers in Forestville, MD · Home Health Aide in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.