Provider Demographics
NPI:1275945214
Name:ADEGOROYE, ADELANKE
Entity Type:Individual
Prefix:MRS
First Name:ADELANKE
Middle Name:
Last Name:ADEGOROYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 NICHOLSON ST APT 201
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2654
Mailing Address - Country:US
Mailing Address - Phone:202-706-0463
Mailing Address - Fax:
Practice Address - Street 1:9905 HARBOR AVE
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-2125
Practice Address - Country:US
Practice Address - Phone:240-595-5454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-26
Last Update Date:2014-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide