MEDICARE: KLIENS EDUCATIONAL & HEALTH CARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	0507001	MD

General Provider Information

NPI Number	:	1255534012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KLIENS EDUCATIONAL & HEALTH CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	962 WAYNE AVE
Second Line	:	SUITE 301B
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4433
Country	:	US
Telephone Number	:	301-588-2552
Fax Number	:	301-588-2556

Provider Business Practice Location Address
First Line	:	962 WAYNE AVE
Second Line	:	SUITE 301B
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4433
Country	:	US
Telephone Number	:	301-588-2552
Fax Number	:	301-588-2556

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. KATE NWOSU
Credential	:
Telephone Number	:	301-588-2552

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	08/22/2020

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