Organization · NPI-2

Ksa Healthcare Services LLC

Home Health · Glen Burnie, MD

NPI number1245815497
StatusActive
Last updated in NPPESMar 9, 2021

Details

NPI
1245815497
Entity type
Organization (NPI-2)
Legal business name
Ksa Healthcare Services LLC
Organization subpart
No
Enumeration date
Mar 9, 2021
Certification date
Mar 9, 2021
Last updated
Mar 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251J00000X Nursing Care––

Practice location

6391 Smithy Sq Apt C
Glen Burnie, MD 21061-1370

Phone 202-704-5559

Mailing address

6391 Smithy Sq Apt C
Glen Burnie, MD 21061-1370

Phone 202-704-5559

Authorized official

Shola Oladapo
Ceo
2027045559

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