# KIMMY;S NEST HOME CARE L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023419199
- **Authorized official:** MRS. KIMBERLY SIMONA JONES (HOME CARE)
- **Authorized official phone:** (313) 772-3361

## Contact information

- **Practice address:** 16158 DEXTER AVE, DETROIT, MI 48221-3002
- **Practice address phone:** (313) 772-3361
- **Practice address fax:** (313) 864-4109
- **Mailing address:** 16158 DEXTER AVE, DETROIT, MI 48221-3002
- **Mailing address phone:** (313) 772-3361
- **Mailing address fax:** (313) 864-4109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/09/2014
- **Last updated:** 09/09/2014