Organization
KLEDS COMMUNITY SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE KLEDO RN, MSN, DNP (CEO)
(240) 491-1087
Entity
Organization
Contact information
Practice address
18909 EBBTIDE CIR, GERMANTOWN, MD 20874-1993
(240) 491-1087
(240) 252-2171
Mailing address
18909 EBBTIDE CIR, GERMANTOWN, MD 20874-1993
(240) 491-1087
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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