Provider Demographics
NPI:1831889799
Name:AKALA-MORDI, FOLAKEMI
Entity type:Individual
Prefix:
First Name:FOLAKEMI
Middle Name:
Last Name:AKALA-MORDI
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 1:6661 SILVERSTREAM AVE APT 2018
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1171
Mailing Address - Country:US
Mailing Address - Phone:725-289-7150
Mailing Address - Fax:
Practice Address - Street 1:6661 SILVERSTREAM AVE APT 2018
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1171
Practice Address - Country:US
Practice Address - Phone:725-289-7150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health