Ket Cares & Education LLC
Early Intervention Provider Agency in Ellenwood, GA. Organization (NPI-2).
NPI number1417663683
StatusActive
Last updated in NPPESJan 30, 2023
Details
- NPI
- 1417663683
- Entity type
- Organization (NPI-2)
- Legal business name
- Ket Cares & Education LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2023
- Certification date
- Jan 30, 2023
- Last updated
- Jan 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | |
| 163W00000X | Registered Nurse | – | – | |
| 163WC1600X | Registered Nurse, Continuing Education/Staff Development | – | – | |
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | – | – | |
| 251B00000X | Case Management | – | – | |
| 405300000X | Prevention Professional | – | – |
Practice location
3411 Linecrest RdEllenwood, GA 30294-1843
Phone 305-804-2959
Mailing address
101 Fairview Rd # 125Ellenwood, GA 30294-2722
Phone 305-804-2959
Authorized official
Ketia Alexandre
Owner
3058042959
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