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Organization
T AND K HOMECARE LLC
Active
Organization
T AND K HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA WILLIAMS (CEO)
(190) 444-4969
Entity
Organization
Contact information
Practice address
1083 AUTUMN TREE LN, ORANGE PARK, FL 32065-5248
(904) 444-8695
Mailing address
1083 AUTUMN TREE LN, ORANGE PARK, FL 32065-5248
(904) 444-8695
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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