Healthcare Provider Details

I. General information

NPI: 1679493233
Provider Name (Legal Business Name): MBUO ADEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5714 SILK TREE DR
RIVERDALE MD
20737-3512
US

IV. Provider business mailing address

5714 SILK TREE DR
RIVERDALE MD
20737-3512
US

V. Phone/Fax

Practice location:
  • Phone: 240-351-8121
  • Fax:
Mailing address:
  • Phone: 240-351-8121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006619
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: