Organization
KELIZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIE BONGAM-SIKOD (C.E.O /DIRECTOR)
(202) 294-4558
Entity
Organization
Contact information
Practice address
9902 WOODYARD CIR, UPPER MARLBORO, MD 20772-4326
(202) 294-4558
Mailing address
9902 WOODYARD CIR, UPPER MARLBORO, MD 20772-4326
(202) 294-4558
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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