Provider Demographics
NPI:1003510629
Name:SAKA, MUTEEAT TAIYE
Entity type:Individual
Prefix:
First Name:MUTEEAT
Middle Name:TAIYE
Last Name:SAKA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13301 ARDEN WAY STE 24
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1564
Mailing Address - Country:US
Mailing Address - Phone:240-486-7374
Mailing Address - Fax:
Practice Address - Street 1:13301 ARDEN WAY STE 24
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1564
Practice Address - Country:US
Practice Address - Phone:240-486-7374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide