Organization
AMERICAN QUALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIDO CAROL KENGNE (HOME HEALTH AID)
(301) 219-4507
Entity
Organization
Contact information
Practice address
7600 MAPLE AVE APT 704, TAKOMA PARK, MD 20912-5552
(301) 219-4507
Mailing address
7600 MAPLE AVE APT 704, TAKOMA PARK, MD 20912-5552
(301) 219-4507
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
K-525-793-004-062
MD
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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