Organization
J&K HOME CARE INC.
Active
Other names
Acti-Kare Responsive In-Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILLIAM MOISA (DIRECTOR)
(434) 401-9471
Entity
Organization
Contact information
Practice address
101 W OTTER RIDGE DR STE A, GOODE, VA 24556-2000
(434) 401-9471
Mailing address
101 W OTTER RIDGE DR STE A, GOODE, VA 24556-2000
(434) 401-9471
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-181579
VA
253Z00000X
In Home Supportive Care Agency
HCO-181579
VA
385H00000X
Respite Care
HCO-181579
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-181579
HOME CARE LICENSE
VA
Enumeration date
09/01/2017
Last updated
07/21/2022
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