Adesola Adeyiga

Individual provider Active NPI Home Health Aide · Landover, MD

NPI 1740535673 · NPPES record last updated Jul 17, 2012

Key facts

NPI
1740535673
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
2310 Brightseat Rd
1
Landover, MD 20785-3552
Phone
(202) 545-0935
Fax
(202) 545-0934
NPI assigned
Jul 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)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

2310 Brightseat Rd
1
Landover, MD 20785-3552

Mailing address

2310 Brightseat Rd
1
Landover, MD 20785-3552
Phone (202) 545-0935

Other providers in Landover, MD

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

Sources for this page

Verify at the official NPI Registry.