Organization
KENAH ONE HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETTY M NGONA (CEO)
(443) 465-9958
Entity
Organization
Contact information
Practice address
3108 E MONUMENT ST, BALTIMORE, MD 21205-2806
(667) 232-1220
(443) 288-4808
Mailing address
7310 RITCHIE HWY STE 612, GLEN BURNIE, MD 21061-3291
(667) 232-1220
(443) 288-4808
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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