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Organization
KALEO SUPPORTS, INC.
Active
Organization
KALEO SUPPORTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SZYMKOWIAK (PRESIDENT)
(910) 322-2755
Entity
Organization
Contact information
Practice address
7618 FIRETHORN DR, FAYETTEVILLE, NC 28311-9215
(910) 630-2255
(910) 339-2808
Mailing address
5227 MATT HAIR RD, FAYETTEVILLE, NC 28312-7855
(910) 322-2755
(910) 339-2808
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418487
—
NC
01
—
MHL-026-896
NORTH CAROLINA DIVISION OF HEALTHCARE REGULATORY SERVICES
NC
Enumeration date
03/25/2015
Last updated
09/16/2015
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