Kingdom Care Living Homemaker And Companion Services, LLC
Home Health in Orange Park, FL. Organization (NPI-2).
NPI number1114484136
StatusActive
Last updated in NPPESOct 2, 2019
Details
- NPI
- 1114484136
- Entity type
- Organization (NPI-2)
- Legal business name
- Kingdom Care Living Homemaker And Companion Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2019
- Last updated
- Oct 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
823 Mosswood Chase StOrange Park, FL 32065-5541
Phone 954-464-5784
Mailing address
823 Mosswood Chase StOrange Park, FL 32065-5541
Phone 954-464-5784
Other practice locations
506 Houston Ave Sw
Live Oak, FL 32064-3001
Live Oak, FL 32064-3001
Phone 954-464-5784
Authorized official
Nakitia Jackson
Ceo/Administrator
9544645784
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All 48 Home Health Agency providers in Orange Park · All 2,903 providers in Orange Park
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