MEDICARE: KECE HEALTH SERVICES, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1790191583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KECE HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	8040 W AIRPORT BLVD APT 1402
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3065
Country	:	US
Telephone Number	:	832-978-6890
Fax Number	:

Provider Business Practice Location Address
First Line	:	8040 W AIRPORT BLVD APT 1402
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3065
Country	:	US
Telephone Number	:	832-978-6890
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDITH EKECHI
Credential	:
Telephone Number	:	832-978-6890

Provider Enumeration Date	:	07/01/2014
Last Update Date	:	07/01/2014

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