# T AND K HOMECARE LLC

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

## Provider details

- **NPI number:** 1528736642
- **Authorized official:** KATRINA WILLIAMS (CEO)
- **Authorized official phone:** (190) 444-4969

## Contact information

- **Practice address:** 1083 AUTUMN TREE LN, ORANGE PARK, FL 32065-5248
- **Practice address phone:** (904) 444-8695
- **Mailing address:** 1083 AUTUMN TREE LN, ORANGE PARK, FL 32065-5248
- **Mailing address phone:** (904) 444-8695

## Taxonomy

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