Organization
KIMBERLY BLACK
Active
Other names
Kimberly Kares Helping Hands
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BLACK (ADMINISTRATOR)
(561) 629-5067
Entity
Organization
Contact information
Practice address
3794 VICTORIA RD, WEST PALM BCH, FL 33411-6440
(561) 629-5067
Mailing address
3794 VICTORIA RD, WEST PALM BCH, FL 33411-6440
(561) 629-5067
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006441900
—
FL
Enumeration date
04/08/2013
Last updated
12/01/2014
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