# KBK HOME HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakina Bouie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235599812
- **Authorized official:** LAKINA BOUIE (OWNER)
- **Authorized official phone:** (504) 223-4969

## Contact information

- **Practice address:** 5405 FOX PLAZA DR, SUITE 108E, MEMPHIS, TN 38115-1518
- **Practice address phone:** (504) 223-4969
- **Mailing address:** 5405 FOX PLAZA DR, 108E, MEMPHIS, TN 38115-1518
- **Mailing address phone:** (504) 223-4969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 160000932 | TN | Yes |

## Other

- **Enumeration date:** 02/25/2016
- **Last updated:** 04/10/2017