Provider Demographics
NPI:1326685264
Name:FADAHUNSI, ABIODUN ADETOLA (MSW)
Entity Type:Individual
Prefix:
First Name:ABIODUN
Middle Name:ADETOLA
Last Name:FADAHUNSI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ABIODUN
Other - Middle Name:ADETOLA
Other - Last Name:FADAHUNSI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DORCAS HOME CARE LLC
Mailing Address - Street 1:510 BROOK RUN TER
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-7600
Mailing Address - Country:US
Mailing Address - Phone:215-808-4748
Mailing Address - Fax:
Practice Address - Street 1:510 BROOK RUN TER
Practice Address - Street 2:
Practice Address - City:GILBERTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19525-7600
Practice Address - Country:US
Practice Address - Phone:215-808-4748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion