MEDICARE: KALEO SUPPORT, INC.

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1316621279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KALEO SUPPORT, INC.

Provider Business Mailing Address
First Line	:	3718 GOLFVIEW RD
Second Line	:
City	:	HOPE MILLS
State	:	NC
Zip	:	28348-2818
Country	:	US
Telephone Number	:	910-322-2755
Fax Number	:	910-491-9623

Provider Business Practice Location Address
First Line	:	1769 WINNABOW DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4852
Country	:	US
Telephone Number	:	910-630-2255
Fax Number	:	910-339-2808

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NANCY SZYMKOWIAK
Credential	:
Telephone Number	:	910-322-2755

Provider Enumeration Date	:	06/12/2023
Last Update Date	:	06/12/2023

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Directions to “KALEO SUPPORT, INC. ” Practice Location

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