Healthcare Provider Details
I. General information
NPI: 1669602223
Provider Name (Legal Business Name): AMK WORLD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2009
Last Update Date: 07/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 DAYNA LN
LAWRENCEVILLE NJ
08648-1583
US
IV. Provider business mailing address
9 DAYNA LN
LAWRENCEVILLE NJ
08648-1583
US
V. Phone/Fax
- Phone: 609-896-0046
- Fax:
- Phone: 609-896-0046
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 311ZA0620X |
| Taxonomy | Adult Care Home Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ANITA
KAKKAR
Title or Position: MANAGING MAMBER
Credential:
Phone: 609-896-0046