Organization
KADIE PRO HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KADIATU HAWA KANNEH RN (CEO)
(240) 938-4043
Entity
Organization
Contact information
Practice address
7701 AREHART DR, SUITE 1305, NEW CARROLLTON, MD 20784-4163
(240) 938-4043
Mailing address
7701 AREHART DR, SUITE 1305, NEW CARROLLTON, MD 20784-4163
(240) 938-4043
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251B00000X
—
251E00000X
Home Health Agency
251E00000X
—
251J00000X
Nursing Care Agency
251J00000X
—
253Z00000X
In Home Supportive Care Agency
Primary
253Z00000X
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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