; NPI #1932695350

Contact Information

KOLAWOLE A ADEOLA

105 EVESBORO MEDFORD RD STE F
MARLTON, NJ 08053-3865

Phone: 856-446-2146
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for

NPI #	`1932695350`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	07/09/2018
Last updated	11/25/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for

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