Provider Demographics
NPI:1750829495
Name:S.OLANI YARL
Entity Type:Organization
Organization Name:S.OLANI YARL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:WEONPO
Authorized Official - Middle Name:
Authorized Official - Last Name:YARL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-604-9582
Mailing Address - Street 1:3622 DEAN DR
Mailing Address - Street 2:SUITE N6
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1236
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3622 DEAN DR
Practice Address - Street 2:SUITE N6
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-1236
Practice Address - Country:US
Practice Address - Phone:240-604-9582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN0987213140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric