Organization
KBA ENTERTAINMENT, LLC
Active
Other names
Acti-Kare Responsive In-Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY WRODUKUH GARSAYNE (BOSS)
(319) 775-1202
Entity
Organization
Contact information
Practice address
751 NE 60TH ST APT 311, PLEASANT HILL, IA 50327-3313
(319) 775-1202
Mailing address
751 NE 60TH ST APT 311, PLEASANT HILL, IA 50327-3313
(319) 775-1202
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
10/29/2024
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