MEDICARE: R&K SUPPORT 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1962732842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R&K SUPPORT SERVICES, INC.

Provider Business Mailing Address
First Line	:	10335 W OKLAHOMA AVE STE 202
Second Line	:
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-4100
Country	:	US
Telephone Number	:	414-377-8125
Fax Number	:	414-377-8149

Provider Business Practice Location Address
First Line	:	10335 W OKLAHOMA AVE STE 202
Second Line	:
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-4100
Country	:	US
Telephone Number	:	414-377-8125
Fax Number	:	414-377-8149

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JENNY CASTILLO-NYLUND
Credential	:
Telephone Number	:	414-377-8125

Provider Enumeration Date	:	12/28/2009
Last Update Date	:	11/30/2024

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