Provider Demographics
NPI:1801168851
Name:HORNE, FOLASHADE ADUFE
Entity type:Individual
Prefix:
First Name:FOLASHADE
Middle Name:ADUFE
Last Name:HORNE
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 1:2041 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-1616
Mailing Address - Country:US
Mailing Address - Phone:240-354-7199
Mailing Address - Fax:240-297-9397
Practice Address - Street 1:2041 GEORIA AVE
Practice Address - Street 2:2041 GEORGIA AVE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:240-354-7199
Practice Address - Fax:240-297-9397
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide