Organization
K & A SERVICES, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTHIE ANN JOHNSON (OWNER)
(904) 551-6770
Entity
Organization
Contact information
Practice address
9266 ADAMS AVE, JACKSONVILLE, FL 32208-2208
(904) 551-6770
(904) 619-2688
Mailing address
9266 ADAMS AVE, JACKSONVILLE, FL 32208-2208
(904) 551-6770
(904) 619-2688
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002557200
MEDICAID PROVIDER NUMBER
FL
Enumeration date
12/10/2010
Last updated
12/10/2010
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