# K C HOME CARE LLC

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

## Provider details

- **NPI number:** 1699135673
- **Authorized official:** KEVIN N WILLIAMS (VICE PRESIDENT)
- **Authorized official phone:** (888) 623-5122

## Contact information

- **Practice address:** 10026 MORLEY ST, DETROIT, MI 48204-2525
- **Practice address phone:** (888) 733-2054
- **Mailing address:** 18625 MUIRLAND ST, DETROIT, MI 48221-2202
- **Mailing address phone:** (888) 623-5122
- **Mailing address fax:** (313) 887-0801

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2016
- **Last updated:** 01/27/2017