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Organization
K M PROVIDER SERVICES INC.
Active
Organization
K M PROVIDER SERVICES INC.
Active
Other names
K M Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
KATHEREN L. NWAKANMA RN (ADMINISTRATOR)
(817) 419-6084
Entity
Organization
Contact information
Practice address
1201 N WATSON RD, ARLINGTON, TX 76006-6190
(817) 419-6084
(817) 419-6084
Mailing address
1201 N WATSON RD, ARLINGTON, TX 76006-6190
(817) 419-6084
(817) 419-6084
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011105
STATE LICENSE
TX
Enumeration date
03/27/2007
Last updated
03/18/2011
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