Lalekan Banjo, HHA

Individual provider Active NPI Home Health Aide · Glenarden, MD

NPI 1659624062 · NPPES record last updated Oct 23, 2012

Key facts

NPI
1659624062
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
7929 Grant Dr
Glenarden, MD 20706-1727
Phone
(202) 545-0935
Fax
(202) 545-0176
NPI assigned
Oct 23, 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

7929 Grant Dr
Glenarden, MD 20706-1727

Mailing address

7929 Grant Dr
Glenarden, MD 20706-1727
Phone (202) 545-0935

Other providers in Glenarden, MD

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

Sources for this page

Verify at the official NPI Registry.