| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | FAKAYATU IBIRONKE AGBOOLA · Fakayatu I. Agboola | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Fakayatu | [sources] | |||
| ID Number | 2021007170(MO) · RN750648 / PN292474 | [sources] | |||
| Last name | Agboola | [sources] | |||
| Middle name | I. · IBIRONKE | [sources] | |||
| NPI | 1306572821 | [sources] | |||
| Title | RN/LPN | [sources] | |||
| Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) · RN | [sources] | |||
| Address | (GA), (GA) · 2209 SWAN LAKE CT, GRAYSON, GA 30017 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
People and companies excluded from Federally funded health care programs
United States · OIG
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
us-medpa-ed887b46d208fd9db842188a7058626e6996335b · us-fed-excl-fakayatu-ibironke-agboola-30017-grayson · us-medde-8d1fefa44dee552bce1a0c6ede8c36d8100b743fFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| (GA), (GA) · GA, GA | United States | |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States | Department of Human Services | - | - |