Provider Demographics
NPI:1588726913
Name:ACHA, ADAKU APPOLONIA (RN)
Entity type:Individual
Prefix:
First Name:ADAKU
Middle Name:APPOLONIA
Last Name:ACHA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 AMERICANA LN
Mailing Address - Street 2:SUITE 2006
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-7685
Mailing Address - Country:US
Mailing Address - Phone:972-686-2985
Mailing Address - Fax:
Practice Address - Street 1:1228 AMERICANA LN
Practice Address - Street 2:SUITE 2006
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-7685
Practice Address - Country:US
Practice Address - Phone:972-686-2985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health