KOLAWOLE ABIODUN ADEOLA
NPI 1932695350
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Marlton, NJ
- Individual
- Male
- Community Based Residential Treatment Fa...
About KOLAWOLE ADEOLA
This page provides the complete NPI Profile along with additional information for Kolawole Adeola, a provider established in Marlton, New Jersey with a medical specialization in Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1932695350 assigned on July 2018. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1932695350 Verify this NPI
- Provider Name
- KOLAWOLE ABIODUN ADEOLA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 105 EVESBORO MEDFORD RD STE F MARLTON, NJ 08053
- Location Phone
- (856) 446-2146
- Mailing Address
- 105 EVESBORO MEDFORD RD STE F MARLTON, NJ 08053
- Mailing Phone
- (443) 677-5135
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-09-2018
- Last Update Date
- 11-25-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MARLTON, NJ 08053
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932695350, enumerated as an "individual" on July 09, 2018.
The provider is located at 105 EVESBORO MEDFORD RD STE F MARLTON, NJ 08053 and the phone number is (856) 446-2146.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.