Provider Demographics
NPI:1518566959
Name:OKUNEYE, TEMITOPE HASSAN57 (HHA)
Entity Type:Individual
Prefix:MR
First Name:TEMITOPE
Middle Name:HASSAN57
Last Name:OKUNEYE
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2376 MITCHELLVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1577
Mailing Address - Country:US
Mailing Address - Phone:240-413-8104
Mailing Address - Fax:
Practice Address - Street 1:2376 MITCHELLVILLE RD
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1577
Practice Address - Country:US
Practice Address - Phone:240-413-8104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-17
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide