KOLAWOLE ABIODUN ADEOLA


Address: 105 Evesboro Medford Rd Ste F, Marlton, NJ 08053-3865
Phone: 8564462146

KOLAWOLE ABIODUN ADEOLA (NPI# 1932695350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932695350
Entity Type Individual
Full Name KOLAWOLE ABIODUN ADEOLA
Practice Address 105 Evesboro Medford Rd Ste F
Marlton
NJ 08053-3865
Practice Telephone 8564462146
Mailing Telephone 4436775135
Enumeration Date 2018-07-09
Last Update Date 2018-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 105 EVESBORO MEDFORD RD STE F
City MARLTON
State NJ
Zip Code 08053-3865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003425695 Bestcare Nursing and Residential Day Program Day Training, Developmentally Disabled Services 105 Evesboro Medford Rd Ste F, Marlton, NJ 08053-3865 2020-07-29

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114581162 Community Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 38 Fourth Street, Marlton, NJ 08053-0854 2019-04-25
1336646470 Therapeutic Alternatives Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 30 Mill Park Ln, Marlton, NJ 08053-9711 2018-04-06
1437664653 Community Options, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 81b N Locust Ave, Marlton, NJ 08053-1768 2017-12-11
1487166286 Community Options Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 151 Carlton Ave, Marlton, NJ 08053-1878 2017-11-02
1952837775 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 191 Carlton Ave, Marlton, NJ 08053 2017-05-11
1194251397 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5206 Redhaven Dr, Marlton, NJ 08053 2017-05-08
1285160606 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 106 Harvest Rd, Marlton, NJ 08053 2017-05-04
1083140404 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 802 Roberts Ln, Marlton, NJ 08053 2017-05-04
1174059596 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1304 Roberts Ln, Marlton, NJ 08053 2017-05-04
1710413133 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1505 Roberts Ln, Marlton, NJ 08053 2017-05-04
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Competitor

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City MARLTON
Zip Code 08053

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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