Healthcare Provider Details

I. General information

NPI: 1124455407
Provider Name (Legal Business Name): HELENE AKANDE LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 BUNKER HILL RD NE SUITE 274
WASHINGTON DC
20017-3026
US

IV. Provider business mailing address

5804 ANNAPOLIS RD APT. #614
BLADENSBURG MD
20710-2076
US

V. Phone/Fax

Practice location:
  • Phone: 202-635-5756
  • Fax: 202-635-5780
Mailing address:
  • Phone: 301-828-7341
  • Fax: 202-635-5756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberLPN1006762
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: