Provider Demographics
NPI:1265863534
Name:BAKARE, ARINOLA (HHA)
Entity Type:Individual
Prefix:MRS
First Name:ARINOLA
Middle Name:
Last Name:BAKARE
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11724 S LAUREL DR APT 2B
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-2910
Mailing Address - Country:US
Mailing Address - Phone:202-294-0740
Mailing Address - Fax:
Practice Address - Street 1:11724 S LAUREL DR APT 2B
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2910
Practice Address - Country:US
Practice Address - Phone:202-294-0740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide