| Kenah One Health Care Services, Llc | |
|
308 Crain Hwy N Glen Burnie MD 21061-3090 | |
| (443) 465-9958 | |
| Not Available |
| Full Name | Kenah One Health Care Services, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 308 Crain Hwy N, Glen Burnie, Maryland |
| Authorized Official Name and Position | Ketty Ngona (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4434659958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenah One Health Care Services, Llc 7735 Hollins Chapel Ct Glen Burnie MD 21060-8396 Ph: (443) 465-9958 | Kenah One Health Care Services, Llc 308 Crain Hwy N Glen Burnie MD 21061-3090 Ph: (443) 465-9958 |
| NPI Number | 1285255307 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285255307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Kenah One Health Care Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Crain Hwy N, Glen Burnie, MD 21061 Phone: 667-232-1220 Fax: 443-288-4808 | |
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