Organization
KDM'S SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MULLINGS (PESIDENT)
(954) 726-6722
Entity
Organization
Contact information
Practice address
6412 N UNIVERSITY DR, #114, TAMARAC, FL 33321-4055
(954) 726-6722
(954) 726-6723
Mailing address
6412 N UNIVERSITY DR, #114, TAMARAC, FL 33321-4055
(954) 726-6722
(954) 726-6723
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688089496
—
FL
05
—
688089498
—
FL
Enumeration date
05/19/2009
Last updated
05/19/2009
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