Provider Demographics
NPI:1821858838
Name:OLAJIDE, FEYISAYO
Entity Type:Individual
Prefix:
First Name:FEYISAYO
Middle Name:
Last Name:OLAJIDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 CAROLSTOWNE RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-6501
Mailing Address - Country:US
Mailing Address - Phone:443-739-4481
Mailing Address - Fax:
Practice Address - Street 1:137 CAROLSTOWNE RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-6501
Practice Address - Country:US
Practice Address - Phone:443-739-4481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide