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Organization
KEEN SUPPORTS AND SERVICES LLC
Active
Organization
KEEN SUPPORTS AND SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANAH JONES (OWNER)
(919) 758-6338
Entity
Organization
Contact information
Practice address
513 BOARDWALK DR, WAKE FOREST, NC 27587-1909
(919) 758-6338
Mailing address
11845 RETAIL DR # 1090, WAKE FOREST, NC 27587-7352
(919) 758-6338
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WC0400X
Case Management Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
172A00000X
Driver
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/16/2022
Last updated
06/24/2022
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