Kahak MD, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Laurel, MD. Organization (NPI-2).
NPI number1225870546
StatusActive
Last updated in NPPESJun 7, 2024
Details
- NPI
- 1225870546
- Entity type
- Organization (NPI-2)
- Legal business name
- Kahak MD, INC.
- Organization subpart
- No
- Enumeration date
- Jun 7, 2024
- Certification date
- Jun 7, 2024
- Last updated
- Jun 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Other names
- Kahak Health Care Services (Doing Business As)
Practice location
9771 Tiger Lily Path Apt 1dLaurel, MD 20723-6344
Phone 301-641-1514
Mailing address
12501 Prosperity Dr Ste 315Silver Spring, MD 20904-1689
Phone 301-641-1514
Authorized official
Michel Kahak
Ceo
2027221700
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