Healthcare Provider Details

I. General information

NPI: 1083359590
Provider Name (Legal Business Name): KEYS2HEALTH AND TRAINING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2022
Last Update Date: 04/28/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15800 CRABBS BRANCH WAY
ROCKVILLE MD
20855-2604
US

IV. Provider business mailing address

11141 GEORGIA AVE APT 512
SILVER SPRING MD
20902-7680
US

V. Phone/Fax

Practice location:
  • Phone: 240-887-2482
  • Fax:
Mailing address:
  • Phone: 301-366-3379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JENEH SERRY
Title or Position: PRESIDENT/DIRECTOR
Credential: BSN
Phone: 301-366-3379