MEDICARE: M&K CARE CORP

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1427734672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&K CARE CORP

Provider Business Mailing Address
First Line	:	918 LACEY RD STE 3A
Second Line	:
City	:	FORKED RIVER
State	:	NJ
Zip	:	08731-1063
Country	:	US
Telephone Number	:	732-627-1114
Fax Number	:

Provider Business Practice Location Address
First Line	:	918 LACEY RD STE 3A
Second Line	:
City	:	FORKED RIVER
State	:	NJ
Zip	:	08731-1063
Country	:	US
Telephone Number	:	732-627-1114
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MICHAEL A DESIMONE
Credential	:
Telephone Number	:	732-302-8846

Provider Enumeration Date	:	06/23/2023
Last Update Date	:	11/10/2023

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Directions to “M&K CARE CORP ” Practice Location

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