MEDICARE: WANDA AKOREDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	373H00000X	Day Training/Habilitation Specialist
3	3747A0650X	Attendant Care Provider
4	3747P1801X	Personal Care Attendant
5	374U00000X	Home Health Aide
6	376J00000X	Homemaker
7	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1174921324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WANDA AKOREDE

Provider Business Mailing Address
First Line	:	3110 ELKDALE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3023
Country	:	US
Telephone Number	:	713-447-7086
Fax Number	:

Provider Business Practice Location Address
First Line	:	2929 WESTHOLLOW DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1823
Country	:	US
Telephone Number	:	713-447-7086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2014
Last Update Date	:	12/19/2014

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Directions to “ WANDA AKOREDE ” Practice Location

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