Organization
KENOLY HOME CARE, LLC
Active
Other names
Kendal Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEKELWA NOLIYA DALL (ADMINISTRATOR/CEO)
(703) 573-3852
Entity
Organization
Contact information
Practice address
8303 ARLINGTON BLVD, SUITE 210, FAIRFAX, VA 22031-2903
(703) 573-3852
(703) 573-3853
Mailing address
8303 ARLINGTON BLVD, SUITE 210, FAIRFAX, VA 22031-2903
(703) 573-3852
(703) 573-3853
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HCO 264
VA
251J00000X
Nursing Care Agency
Primary
HCO264
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248092
KAISER PMNTE PROVIDER
MD
Enumeration date
07/23/2006
Last updated
09/11/2025
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