| Kenah One Health Care Services, Llc | |
|
7310 Ritchie Hwy Ste 612 Glen Burnie MD 21061-3291 | |
| (443) 491-7854 | |
| (443) 288-4808 |
| Full Name | Kenah One Health Care Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7310 Ritchie Hwy Ste 612, Glen Burnie, Maryland |
| Authorized Official Name and Position | Ketty Ngona (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6672321220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenah One Health Care Services, Llc 7735 Hollins Chapel Ct Glen Burnie MD 21060-8396 Ph: (667) 232-1220 | Kenah One Health Care Services, Llc 7310 Ritchie Hwy Ste 612 Glen Burnie MD 21061-3291 Ph: (443) 491-7854 |
| NPI Number | 1619598935 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 07/15/2025 |
| Certification Date | 07/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619598935 | NPI | - | NPPES |
| 950021900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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