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Organization

KINGDOM CARE ALTERNATIVE FAMILY LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KALYNN BLOW BS,QP (EXECUTIVE DIRECTOR)
(252) 814-0908
Entity
Organization

Contact information

Practice address
204 E ARLINGTON BLVD STE C, GREENVILLE, NC 27858-5022
(252) 814-0908
Mailing address
2224 BELLAMY CIR APT 111, GREENVILLE, NC 27858-7260
(252) 814-0908

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
261QA0005X
Ambulatory Family Planning Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
385H00000X
Respite Care
385HR2050X
Respite Care Camp
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
08/25/2025
Last updated
08/25/2025
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