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Organization
KMC HOME HEALTHCARE AGENCY
Active
Organization
KMC HOME HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHIA UPCHURCH (OWNER)
(614) 554-7982
Entity
Organization
Contact information
Practice address
2101 S HAMILTON RD STE 104, COLUMBUS, OH 43232-4144
(614) 554-7982
Mailing address
2101 S HAMILTON RD STE 104, COLUMBUS, OH 43232-4144
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR012727
DRIVER'S LICENSE
OH
Enumeration date
10/03/2022
Last updated
10/03/2022
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