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Organization
KKS SERVICES, LLC
Active
Organization
KKS SERVICES, LLC
Active
Other names
K&K Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLYN RENE JACKSON RN, MSN (OWNER/ADMINISTRATOR)
(936) 634-1166
Entity
Organization
Contact information
Practice address
513 S 1ST ST, LUFKIN, TX 75901-3867
(936) 634-1166
(936) 634-1571
Mailing address
513 S 1ST ST, LUFKIN, TX 75901-3867
(936) 634-1166
(936) 634-1571
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
010019
TX
251E00000X
Home Health Agency
Primary
016859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841827-01
—
TX
Enumeration date
01/02/2007
Last updated
07/23/2015
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