# KBC NURSING AGENCY AND HOME HEALTH CARE INC.

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

## Provider details

- **NPI number:** 1386905735
- **Authorized official:** MRS. CHRISTINE WILLIAMS DC (NURSE)
- **Authorized official phone:** (202) 291-6973

## Contact information

- **Practice address:** 790 FAIRVIEW AVE, APPT 413, TAKOMA PARK, MD 20912-5979
- **Practice address phone:** (240) 705-0959
- **Mailing address:** 790 FAIRVIEW AVE, APPARTEMENT 413, TAKOMA PARK, MARYLAND 20912
- **Mailing address phone:** (240) 705-0959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 37 | DC | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | T-352-174-080-684 | MD | Yes |

## Other

- **Enumeration date:** 06/01/2012
- **Last updated:** 06/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 37 | — | DC |