Organization
BLUESKYHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE KAMANDA (CEO)
(240) 428-4460
Entity
Organization
Contact information
Practice address
5616 CLIFF SIDE CT, BROOKLYN, MD 21225-2937
(240) 688-3973
Mailing address
5616 CLIFF SIDE CT, BROOKLYN, MD 21225-2937
(240) 688-3973
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
310400000X
Assisted Living Facility
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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