Organization
KB HEALTH TECHNOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER BARRETT (CFO)
(706) 379-4012
Entity
Organization
Contact information
Practice address
6225 U.S. HWY 76 EAST, YOUNG HARRIS, GA 30582-1339
(706) 379-4012
Mailing address
PO BOX 1339, YOUNG HARRIS, GA 30582-1339
(706) 379-4012
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
139-R-0001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000617988A
—
GA
05
—
000617988B
—
GA
05
—
300027429C
—
GA
Enumeration date
09/24/2010
Last updated
09/24/2010
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