Provider Demographics
NPI:1912784927
Name:AKEAWAH, COLLINS C
Entity Type:Individual
Prefix:
First Name:COLLINS
Middle Name:C
Last Name:AKEAWAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7246 W HARTFORD CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5518
Mailing Address - Country:US
Mailing Address - Phone:513-999-8684
Mailing Address - Fax:
Practice Address - Street 1:7246 W HARTFORD CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5518
Practice Address - Country:US
Practice Address - Phone:513-999-8684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health