# K.C. HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285243105
- **Authorized official:** BERNARD O SPOONER RN (NURSE CONSULTANT)
- **Authorized official phone:** (813) 992-7867

## Contact information

- **Practice address:** 6635 S FLORIDA AVE \# C-1, LAKELAND, FL 33813-3354
- **Practice address phone:** (813) 525-3878
- **Mailing address:** 6635 S FLORIDA AVE \# C-1, LAKELAND, FL 33813-3354
- **Mailing address phone:** (813) 525-3878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2020
- **Last updated:** 07/27/2020