Organization
HIZWILL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETTY NGONA (CEO)
(443) 465-9958
Entity
Organization
Contact information
Practice address
7735 HOLLINS CHAPEL CT, GLEN BURNIE, MD 21060-8396
(443) 465-9958
(443) 465-9958
Mailing address
7735 HOLLINS CHAPEL CT, GLEN BURNIE, MD 21060-8396
(443) 465-9958
(443) 288-4808
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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