| Doctor Name: | FOLASHADE PRECIOUS ONIGBOGI |
| NPI Number: | 1467863886 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | HHA10461 |
| Business Practice Address: | 5504 Newton St Apt2 Hyattsville, MD - 20784 |
| Business Phone Number: | 2404130409 |
| Business Fax Number: | |
| Mailing Address: | 5504 Newton St Apt 2, HYATTSVILLE |
| State: | MD |
| Postal Code: | 207841157 |
| Phone Number: | 2404130409 |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2014 |
| NPI Last Update Date: | 05/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | HHA10461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |