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NPI Code Detail

MEDICARE: KYNDAL HOME HEALTH CARE INC

MEDICARE: KYNDAL HOME HEALTH CARE 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
1251E00000XHome Health AgencyL000000017824TN

General Provider Information

NPI Number : 1841504065
Entity Type Code : Organization
Provider Name (Legal Business Name) : KYNDAL HOME HEALTH CARE INC
Provider Business Mailing Address
First Line : PO BOX 16762
Second Line :
City : MEMPHIS
State : TN
Zip : 38186-0762
Country : US
Telephone Number : 901-774-4448
Fax Number : 901-774-4467
Provider Business Practice Location Address
First Line : 2264 S LAUDERDALE ST
Second Line :
City : MEMPHIS
State : TN
Zip : 38106-7566
Country : US
Telephone Number : 901-774-4448
Fax Number : 901-248-6897
Authorized Official
Title or Position : OPERATION BUSINESS MANAGER/MEMBER
Name : MRS. SYLVIA RICHMOND
Credential :
Telephone Number : 901-774-4448
Provider Enumeration Date : 07/29/2010
Last Update Date : 03/02/2016

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Directions to “KYNDAL HOME HEALTH CARE INC ” Practice Location

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