Organization
KENKWO HEALTHCARE INC
Active
Other names
Kenkwo Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA NWOKENKWO (ADMINISTRATOR)
(770) 544-7477
Entity
Organization
Contact information
Practice address
2300 LAKEVIEW PKWY, SUITE 700, ALPHARETTA, GA 30009-9082
(770) 544-7477
(770) 544-7480
Mailing address
220 ROXBURY CIR, ALPHARETTA, GA 30004-2573
(770) 544-7477
(770) 544-7480
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
028-R-1664
GA
251J00000X
Nursing Care Agency
Primary
028-R-1664
GA
253Z00000X
In Home Supportive Care Agency
028-R-1664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028-R-1664
GEORGIA DEPARTMENT OF COMMUNITY HEALTH
GA
Enumeration date
01/26/2017
Last updated
01/26/2017
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