Provider Demographics
NPI:1689421331
Name:ADEJUMO, FOLASHADE JANET
Entity type:Individual
Prefix:
First Name:FOLASHADE
Middle Name:JANET
Last Name:ADEJUMO
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 1:6827 RIVERDALE RD APT 201B
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1847
Mailing Address - Country:US
Mailing Address - Phone:240-505-6311
Mailing Address - Fax:
Practice Address - Street 1:6827 RIVERDALE RD APT 201B
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1847
Practice Address - Country:US
Practice Address - Phone:240-505-6311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002027374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide