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General NPI Number Information
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NPI Number | 1003632324
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Entity Type | Organization
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Legal Business Name | KIND KEEPERS HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1401 ELM ST APT 2210
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City | DALLAS
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State | TX
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Zip | 75202-2900
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Country | US
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Telephone | 610-781-2657
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 ELM ST APT 2210
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City | DALLAS
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State | TX
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Zip | 75202-2900
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Country | US
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Telephone | 610-781-2657
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALPHONSO BRNDON SEKE-HORTON JR.
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Credential |
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Telephone | 610-781-2657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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