Organization
KAYGEE40, INCORPORATION
Active
Other names
CAROLKAY HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
OLUKAYODE TAIWO RN, MSN, MBA (CEO/ADMINISTRATOR)
(301) 704-5094
Entity
Organization
Contact information
Practice address
6911 LAUREL BOWIE RD STE 303, BOWIE, MD 20715-1712
(301) 704-5094
(240) 245-4232
Mailing address
12800 WILLOW MARSH LN, BOWIE, MD 20720-4692
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
R4113
MD
251E00000X
Home Health Agency
R4113
MD
251F00000X
Home Infusion Agency
R4113
MD
251J00000X
Nursing Care Agency
Primary
R4113
MD
253Z00000X
In Home Supportive Care Agency
R4113
MD
Other
Enumeration date
11/22/2017
Last updated
03/17/2018
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