MEDICARE: K.E.Y.S (KEEPING EVERYTHING IN YOUR SIGHT), 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1730404088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K.E.Y.S (KEEPING EVERYTHING IN YOUR SIGHT), LLC

Provider Business Mailing Address
First Line	:	4109 WAKE FOREST RD.
Second Line	:	SUITE 200
City	:	RALEIGH
State	:	NC
Zip	:	27609-2510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4109 WAKE FOREST RD
Second Line	:	SUITE 200
City	:	RALEIGH
State	:	NC
Zip	:	27609-2510
Country	:	US
Telephone Number	:	919-673-8549
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MISS KELLI DAVIS
Credential	:
Telephone Number	:	919-673-8549

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	05/24/2010

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