Provider Demographics
NPI:1386323475
Name:AXEL CARING PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:AXEL CARING PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YETUNDE
Authorized Official - Middle Name:
Authorized Official - Last Name:FATOKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-472-5758
Mailing Address - Street 1:9332 ANNAPOLIS RD STE 216
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3142
Mailing Address - Country:US
Mailing Address - Phone:240-472-5758
Mailing Address - Fax:
Practice Address - Street 1:2018 FAUNA DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-1249
Practice Address - Country:US
Practice Address - Phone:240-472-5758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health