Active NPIIndividual providerSole proprietor

Kolawole A Adeola

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Marlton, New Jersey

NPI Number1932695350
Practice location
105 Evesboro Medford RD Ste F, Marlton, NJ 08053-3865
Fax
—
Last updated
November 25, 2020

Kolawole Abiodun Adeola is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities based in Marlton, NJ. Kolawole Abiodun Adeola practices in Marlton, NJ. The NPI Number for Kolawole Abiodun Adeola is 1932695350. The current practice location address for Kolawole Abiodun Adeola is 105 Evesboro Medford RD Ste F, Marlton, NJ 08053-3865 and can be reached out via phone at 856-446-2146.

Provider Profile Details

NPI Number
1932695350
Provider Name
Kolawole Abiodun Adeola
Provider Entity Type
Individual
Gender
Male
Address
105 Evesboro Medford RD Ste F, Marlton, NJ 08053-3865
Phone Number
856-446-2146
Sole Proprietor
Yes
Provider Enumeration Date
July 9, 2018
Last Update Date
November 25, 2020
Certification Date
November 25, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Evesboro Medford RD Ste F
Marlton, NJ 08053-3865
Zip
08053-3865
Phone Number
856-446-2146
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
105 Evesboro Medford RD Ste F
Marlton, NJ 08053-3865
City
Marlton
State
NJ
Zip
08053-3865
Phone Number
443-677-5135

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kolawole A Adeola?

The NPI number of Kolawole A Adeola is 1932695350. It was assigned on July 9, 2018 and is currently active in the NPPES registry.

What is the specialty of Kolawole A Adeola?

Kolawole A Adeola is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).

Where does Kolawole A Adeola practice?

The practice location is 105 Evesboro Medford RD Ste F, Marlton, NJ 08053-3865. The office can be reached at 856-446-2146 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932695350 directly on the NPPES registry website.

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