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Organization
KES HOMECARE LLC
Active
Organization
KES HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE E SMITH (OWNER)
(601) 203-3344
Entity
Organization
Contact information
Practice address
860 E RIVER PL STE 102, JACKSON, MS 39202-3442
(601) 988-4435
(601) 586-8436
Mailing address
860 E RIVER PL STE 102, JACKSON, MS 39202-3442
(601) 988-4435
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
01/17/2020
Last updated
07/14/2021
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