Organization
KR HOMEHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENI N RAYSON (ADMINISTRATOR/OWNER)
(903) 203-8435
Entity
Organization
Contact information
Practice address
409 FREDONIA ST STE 114, LONGVIEW, TX 75601
(903) 203-8435
Mailing address
PO BOX 5663, LONGVIEW, TX 75608
(903) 203-8435
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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