Organization
KELLIE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELECTA AWANGA (OWNER)
(240) 646-2083
Entity
Organization
Contact information
Practice address
7830 MISTLETOE DR APT 294, ELKRIDGE, MD 21075-7334
(240) 646-2083
Mailing address
7830 MISTLETOE DR APT 294, ELKRIDGE, MD 21075-7334
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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