Provider Demographics
NPI:1295090819
Name:AKOR, ROLAND AKOR
Entity type:Individual
Prefix:MR
First Name:ROLAND
Middle Name:AKOR
Last Name:AKOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ROLLUX
Other - Middle Name:A
Other - Last Name:AKOR
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:HOME HEALTH AIDE
Mailing Address - Street 1:9951 GOOD LUCK RD APT T3
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3268
Mailing Address - Country:US
Mailing Address - Phone:240-491-1862
Mailing Address - Fax:
Practice Address - Street 1:9951 GOOD LUCK RD APT T3
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3268
Practice Address - Country:US
Practice Address - Phone:240-491-1862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide