Organization
KEN CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONES OLOWONIYI (ADMINISTRATOR)
(754) 221-0107
Entity
Organization
Contact information
Practice address
5740 SHERIDAN ST, HOLLYWOOD, FL 33021-3251
(754) 221-0107
(954) 874-8005
Mailing address
5740 SHERIDAN ST, HOLLYWOOD, FL 33021-3251
(754) 221-0107
(954) 874-8005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111845500
—
FL
Enumeration date
10/01/2021
Last updated
02/11/2022
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