Organization
IKOOT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEWEL FOSTER (EO)
(919) 737-5995
Entity
Organization
Contact information
Practice address
9212 MIRANDA LN, MIDLOTHIAN, VA 23112-6919
(919) 737-5995
Mailing address
9212 MIRANDA LN, MIDLOTHIAN, VA 23112-6919
(919) 737-5995
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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