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NPI Code Detail

MEDICARE: KIGA ENTERPRISES INC

MEDICARE: KIGA ENTERPRISES 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1922379478
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIGA ENTERPRISES INC
Provider Business Mailing Address
First Line : 25711 W WARREN ST
Second Line :
City : DEARBORN HTS
State : MI
Zip : 48127-2046
Country : US
Telephone Number : 313-254-1557
Fax Number : 866-295-8032
Provider Business Practice Location Address
First Line : 25711 W WARREN ST
Second Line :
City : DEARBORN HTS
State : MI
Zip : 48127-2046
Country : US
Telephone Number : 313-254-1557
Fax Number : 866-295-8032
Authorized Official
Title or Position : PRESIDENT/OWNER/DIRECTOR
Name : DR. LOUISE J. GALLAWAY
Credential : EDD, RN
Telephone Number : 313-254-1557
Provider Enumeration Date : 01/14/2012
Last Update Date : 01/14/2012

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Directions to “KIGA ENTERPRISES INC ” Practice Location

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