# KEYESE HOME CARE LLC

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

## Provider details

- **NPI number:** 1780997254
- **Authorized official:** SHARON KEISE (ADMINISTRATOR)
- **Authorized official phone:** (443) 402-0491

## Contact information

- **Practice address:** 1900 WALTMAN RD, EDGEWOOD, MD 21040-2338
- **Practice address phone:** (443) 402-0491
- **Mailing address:** PO BOX 218, EDGEWOOD, MD 21040-0218
- **Mailing address phone:** (443) 402-0491

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/26/2010