MEDICARE: KAMBI CARE FOUNDATION

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	261QA0600X	Adult Day Care Clinic/Center		TX

General Provider Information

NPI Number	:	1033578307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAMBI CARE FOUNDATION

Provider Business Mailing Address
First Line	:	3623 CLIPPER WINDS WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7631
Country	:	US
Telephone Number	:	832-327-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3623 CLIPPER WINDS WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7631
Country	:	US
Telephone Number	:	832-327-9500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KANESIA MACKLIN
Credential	:
Telephone Number	:	832-327-9500

Provider Enumeration Date	:	02/16/2016
Last Update Date	:	02/16/2016

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Directions to “KAMBI CARE FOUNDATION ” Practice Location

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