Provider Demographics
NPI:1194562397
Name:TAOFIK ADEBOWALE SAKA
Entity type:Organization
Organization Name:TAOFIK ADEBOWALE SAKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAOFIK
Authorized Official - Middle Name:ADEBOWALE
Authorized Official - Last Name:SAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-675-8832
Mailing Address - Street 1:244 STONEHEDGE LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-7008
Mailing Address - Country:US
Mailing Address - Phone:443-675-8832
Mailing Address - Fax:
Practice Address - Street 1:244 STONEHEDGE LN
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-7008
Practice Address - Country:US
Practice Address - Phone:443-675-8832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty