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Organization

MEEKEN DIVERSIFIED MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HORACE WALLACE KENNER SR. (CHIEF OPERATION OFFICER)
(240) 413-2245
Entity
Organization

Contact information

Practice address
4849 LYDELL RD, HYATTSVILLE, MD 20781-1116
(301) 449-2045
Mailing address
6803 EDGEMERE DR, CAMP SPRINGS, MD 20748-3939
(240) 413-2245

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/23/2012
Last updated
04/23/2012
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