Organization
KELIZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OCTAVIE B BONGAM-SIKOD (DIRECTOR)
(202) 294-4558
Entity
Organization
Contact information
Practice address
6856 EASTERN AVE NW STE 376D, WASHINGTON, DC 20012-2178
(202) 294-4558
(202) 450-2125
Mailing address
9902 WOODYARD CIR, UPPER MARLBORO, MD 20772-4326
(240) 505-5356
(301) 877-7966
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
NSA-0180
DC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
DC
Other
Enumeration date
03/23/2007
Last updated
10/05/2011
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