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Organization
KESHIAKARES LLC
Active
Organization
KESHIAKARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKESHIA MCGHEE (OWNER/LPN)
(706) 741-7541
Entity
Organization
Contact information
Practice address
1302 6TH PL S APT B2, PHENIX CITY, AL 36869-7855
(706) 741-7541
Mailing address
PO BOX 3512, PHENIX CITY, AL 36868-3512
(706) 464-0853
(334) 888-8362
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/12/2019
Last updated
01/05/2021
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