Provider Demographics
NPI:1659635118
Name:SAHEED, SIMISOLA KAFAYAT (HOME HEALTH AID)
Entity Type:Individual
Prefix:
First Name:SIMISOLA
Middle Name:KAFAYAT
Last Name:SAHEED
Suffix:
Gender:F
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 58TH AVE
Mailing Address - Street 2:APT #9
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1908
Mailing Address - Country:US
Mailing Address - Phone:240-478-9689
Mailing Address - Fax:
Practice Address - Street 1:4209 58TH AVE
Practice Address - Street 2:APT #9
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-1908
Practice Address - Country:US
Practice Address - Phone:240-478-9689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide