MEDICARE: K2 HOLISTIC HEALTHCARE 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	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1043600810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K2 HOLISTIC HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	1601 INDUSTRIAL BLVD STE 3009
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-2601
Country	:	US
Telephone Number	:	832-608-6001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 INDUSTRIAL BLVD STE 3009
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-2601
Country	:	US
Telephone Number	:	832-608-6001
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NWOSU KELECHI
Credential	:
Telephone Number	:	713-261-9571

Provider Enumeration Date	:	01/30/2015
Last Update Date	:	06/18/2024

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