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NPI Code Detail

MEDICARE: KINGDOM KEYS

MEDICARE: KINGDOM KEYS
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1891586194
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINGDOM KEYS
Provider Business Mailing Address
First Line : 1315 N BROADWELL AVE
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-3052
Country : US
Telephone Number : 308-380-8021
Fax Number :
Provider Business Practice Location Address
First Line : 1315 N BROADWELL AVE
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-3052
Country : US
Telephone Number : 308-380-8021
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : LORENA L GARCIA SOBERATS
Credential :
Telephone Number : 308-380-8021
Provider Enumeration Date : 05/15/2025
Last Update Date : 05/15/2025

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Directions to “KINGDOM KEYS ” Practice Location

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