Organization
KAM QUALITY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN DENISE HUBBARD (CEO/OWNER)
(314) 741-9981
Entity
Organization
Contact information
Practice address
5110 MIDDAY DR, BLACK JACK, MO 63033-8521
(314) 741-9981
(314) 741-9982
Mailing address
5110 MIDDAY DR, BLACK JACK, MO 63033-8521
(314) 741-9981
(314) 741-9982
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
MO
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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