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NPI Code Detail

MEDICARE: KIMANI HOME CARE SERVICES LLC

MEDICARE: KIMANI HOME CARE SERVICES LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1053728931
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIMANI HOME CARE SERVICES LLC
Provider Business Mailing Address
First Line : 348 NETTLES ST
Second Line :
City : CASTLEBERRY
State : AL
Zip : 36432-3004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 348 NETTLES ST
Second Line :
City : CASTLEBERRY
State : AL
Zip : 36432-3004
Country : US
Telephone Number : 251-966-7022
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MISS SHEENA BROWN
Credential :
Telephone Number : 251-966-7022
Provider Enumeration Date : 07/12/2014
Last Update Date : 07/12/2014

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Directions to “KIMANI HOME CARE SERVICES LLC ” Practice Location

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