# KET CARES & EDUCATION LLC

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

## Provider details

- **NPI number:** 1417663683
- **Authorized official:** MS. KETIA ALEXANDRE RN, MSN (OWNER)
- **Authorized official phone:** (305) 804-2959

## Contact information

- **Practice address:** 3411 LINECREST RD, ELLENWOOD, GA 30294-1843
- **Practice address phone:** (305) 804-2959
- **Mailing address:** 101 FAIRVIEW RD \# 125, ELLENWOOD, GA 30294-2722
- **Mailing address phone:** (305) 804-2959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 163WC1600X | Continuing Education/Staff Development Registered Nurse | — | NULL | — |
| 163WC1600X | Continuing Education/Staff Development Registered Nurse | — | — | — |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | — |
| 163WR0006X | Registered Nurse First Assistant | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 01/30/2023