Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. OLUGBENGA OLALEKAN BANJO
Active Sole ProprietorMR. OLUGBENGA OLALEKAN BANJO is a Assisted Living Facility healthcare provider located in ST PAUL PARK, Minnesota. NPI 1558143065 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · ST PAUL PARK, MN
Registration Details
- NPI Number
- 1558143065
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2023 (2.8324910479697 yrs)
- Last Updated
- Oct 19, 2023
- License
-
413980 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1160 CHICAGO AVEST PAUL PARK, MN, 550711344Browse MN providers · Browse ZIP 55071
- Phone
- 6512109638
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.