Organization
KEAIZHAE'S HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEAISHA MIRANDA COLE (LPN)
(410) 572-7934
Entity
Organization
Contact information
Practice address
5720 LEITH WALK, BALTIMORE, MD 21239-2630
(410) 572-7934
Mailing address
5720 LEITH WALK, BALTIMORE, MD 21239-2630
(410) 572-7934
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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