Provider Demographics
NPI:1336888965
Name:ADOKA INC
Entity Type:Organization
Organization Name:ADOKA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ATINUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OBAGBEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-478-5541
Mailing Address - Street 1:3920 W CHARLESTON BLVD STE N
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1651
Mailing Address - Country:US
Mailing Address - Phone:170-247-8554
Mailing Address - Fax:
Practice Address - Street 1:3920 W CHARLESTON BLVD STE N
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1651
Practice Address - Country:US
Practice Address - Phone:702-822-0447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251B00000XAgenciesCase Management
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health