Organization
KBM HEALTH CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE S KAMARA (PRESIDENT/CEO)
(301) 200-5438
Entity
Organization
Contact information
Practice address
9400 BUENA VISTA AVE, LANHAM, MD 20706-6736
(301) 200-5438
(186) 670-7857
Mailing address
9400 BUENA VISTA AVE, LANHAM, MD 20706-6736
(301) 200-5438
(186) 670-7857
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9354000
—
MD
05
—
93540000
—
MD
Enumeration date
11/15/2012
Last updated
02/17/2015
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