FAKAYATU IBIRONKE AGBOOLA

Debarred entity

Born 16 Mar 1964 (62 years old),United States. Named in 3 sanctions listings.

Screen this subject

Summary

License number: 2021007170(MO)

Sanctions and listings3

Effective
18 Jan 2024
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov
Effective
18 Jan 2024
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
medicaid.dhss.delaware.gov
Effective
18 Jan 2024
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov

Positions held2

Period not retained
RN
Period not retained
NURSE/NURSES AIDE (IND- LIC HC SERV PRO)

Identifiers2

Identifier	Number
ID number	RN750648 / PN292474
NPI number	1306572821

Other names1

Also known as1

Fakayatu I. Agboola

Addresses2

(GA), (GA)
2209 SWAN LAKE CT, GRAYSON, GA 30017

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