# KING HOME HEALTH SERVICES CORP

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

## Provider details

- **NPI number:** 1912521980
- **Authorized official:** REGNAR DIEPPA HERNANDEZ (VICE-PRESIDENT)
- **Authorized official phone:** (305) 457-7339

## Contact information

- **Practice address:** 16201 SW 95TH AVE STE 103, MIAMI, FL 33157-3459
- **Practice address phone:** (305) 457-7339
- **Mailing address:** 16201 SW 95TH AVE STE 103, MIAMI, FL 33157-3459
- **Mailing address phone:** (305) 457-7339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2020
- **Last updated:** 06/15/2020