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Organization
KINGDOM COMPANION NURSE REGISTRY
Active
Organization
KINGDOM COMPANION NURSE REGISTRY
Active
Other names
Kingdom Companion Nurse Registry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AWILDA THEODORE (OWNER/ADMINISTRATOR)
(561) 507-1601
Entity
Organization
Contact information
Practice address
1601 BELVEDERE RD STE 300E, WEST PALM BEACH, FL 33406-1554
(561) 507-1601
(561) 214-6139
Mailing address
1601 BELVEDERE RD STE 300E, WEST PALM BEACH, FL 33406-1554
(561) 507-1601
(561) 214-6139
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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