Provider Demographics
NPI:1710279211
Name:OKAFOR, RITA N (LPN)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:N
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:N
Other - Last Name:OKAFOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:7 ARBUTUS ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-3103
Mailing Address - Country:US
Mailing Address - Phone:857-205-2526
Mailing Address - Fax:627-288-2007
Practice Address - Street 1:7 ARBUTUS ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-3103
Practice Address - Country:US
Practice Address - Phone:857-205-2526
Practice Address - Fax:627-288-2007
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN65436164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse