Provider Demographics
NPI:1023898400
Name:ADELEKE, OMOLAYO TOYIN
Entity type:Individual
Prefix:
First Name:OMOLAYO
Middle Name:TOYIN
Last Name:ADELEKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11890 CEDARCREEK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1552
Mailing Address - Country:US
Mailing Address - Phone:513-250-2236
Mailing Address - Fax:
Practice Address - Street 1:11890 CEDARCREEK DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1552
Practice Address - Country:US
Practice Address - Phone:513-250-2236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker