| Organization Name: | KEBROS & ASSOCIATES, LLC |
| NPI Number: | 1790163251 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ABIMBOLA EBODA (ADMINISTRATOR) |
| Mailing Address: | 1604 Spring Hill Rd Suite# 300 Vienna |
| State: | VA US |
| Postal Code: | 221827510 |
| Phone Number: | 8004195343 |
| Fax Number: | 2404554313 |
| NPI Enumeration Date: | 05/15/2015 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |