Provider Demographics
NPI:1295540920
Name:ADEKANBI, COMFORT
Entity type:Individual
Prefix:
First Name:COMFORT
Middle Name:
Last Name:ADEKANBI
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 1:822 BOOKER PL
Mailing Address - Street 2:
Mailing Address - City:SEAT PLEASANT
Mailing Address - State:MD
Mailing Address - Zip Code:20743-1840
Mailing Address - Country:US
Mailing Address - Phone:240-413-7483
Mailing Address - Fax:
Practice Address - Street 1:822 BOOKER PL
Practice Address - Street 2:
Practice Address - City:SEAT PLEASANT
Practice Address - State:MD
Practice Address - Zip Code:20743-1840
Practice Address - Country:US
Practice Address - Phone:240-413-7483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200004201374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide