Organization
K & K HEALTHCARE SYSTEM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OMOLAYO CATHERINE AKINBOTE RN (ADMINISTRATOR)
(678) 289-4254
Entity
Organization
Contact information
Practice address
201 ELEANOR CT, STOCKBRIDGE, GA 30281-9123
(678) 289-4254
(678) 289-4254
Mailing address
201 ELEANOR CT, STOCKBRIDGE, GA 30281-9123
(678) 289-4254
(678) 289-4254
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
075R0014
GA
251J00000X
Nursing Care Agency
Primary
075R0014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
755123874A
—
GA
Enumeration date
02/11/2009
Last updated
02/11/2009
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