# KC CARE MANAGEMENT,INC.

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

## Provider details

- **NPI number:** 1942452446
- **Authorized official:** MR. CARL LAVALLE BLACKWELL JR. (PRESIDENT)
- **Authorized official phone:** (919) 544-0257

## Contact information

- **Practice address:** 5010 S ALSTON AVE, DURHAM, NC 27713-4425
- **Practice address phone:** (919) 544-0257
- **Mailing address:** 5010 S ALSTON AVE, DURHAM, NC 27713-4425
- **Mailing address phone:** (919) 544-0257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL-032-071 | NC | Yes |

## Other

- **Enumeration date:** 10/15/2008
- **Last updated:** 10/15/2008