# KSA HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245815497
- **Authorized official:** SHOLA OLADAPO (CEO)
- **Authorized official phone:** (202) 704-5559

## Contact information

- **Practice address:** 6391 SMITHY SQ APT C, GLEN BURNIE, MD 21061-1370
- **Practice address phone:** (202) 704-5559
- **Mailing address:** 6391 SMITHY SQ APT C, GLEN BURNIE, MD 21061-1370
- **Mailing address phone:** (202) 704-5559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2021
- **Last updated:** 03/09/2021