Healthcare Provider Details

I. General information

NPI: 1588673396
Provider Name (Legal Business Name): K & K HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 HWY 301
GARYSBURG NC
27831
US

IV. Provider business mailing address

2363 CORNWALLIS RD
GARYSBURG NC
27831-9503
US

V. Phone/Fax

Practice location:
  • Phone: 252-536-4282
  • Fax: 252-536-2536
Mailing address:
  • Phone: 252-536-4282
  • Fax: 252-536-2536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC2946
License Number StateNC

VIII. Authorized Official

Name: BARBARA ANN KEE
Title or Position: RN OWNER
Credential:
Phone: 252-536-4282