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NPI Code Detail

MEDICARE: MRS. ADESOLA ADEOLA AYILEKA

MEDICARE:  MRS. ADESOLA ADEOLA AYILEKA
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1171WH0202XHome Modifications Contractor101870AL

General Provider Information

NPI Number : 1396026175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ADESOLA ADEOLA AYILEKA
Provider Business Mailing Address
First Line : 3810 SULLIVAN ST
Second Line : SUIT N &O
City : MADISON
State : AL
Zip : 35758-1762
Country : US
Telephone Number : 256-325-5345
Fax Number :
Provider Business Practice Location Address
First Line : 3810 SULLIVAN ST
Second Line : SUIT N&O
City : MADISON
State : AL
Zip : 35758-1762
Country : US
Telephone Number : 256-325-5345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2011
Last Update Date : 11/14/2011

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Directions to “ MRS. ADESOLA ADEOLA AYILEKA ” Practice Location

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