Organization
KESI CARE SERVICES LLC
Active
Other names
Konse Konse LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JAMES MAGOMBO (MANAGER/OWNER)
(512) 269-5633
Entity
Organization
Contact information
Practice address
1909 LEADERS LN, LEANDER, TX 78641-3142
(512) 269-5633
Mailing address
1909 LEADERS LN # A, LEANDER, TX 78641-3142
(512) 269-5633
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
01/29/2024
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