| NPI | 1376305003 |
|---|---|
| Former Name | OLUMIDE SILAS ADEDEJI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 3747A0650X Technician Attendant Care Provider | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |