Organization
KBC NURSING AGENCY AND HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE WILLIAMS DC (NURSE)
(202) 291-6973
Entity
Organization
Contact information
Practice address
790 FAIRVIEW AVE, APPT 413, TAKOMA PARK, MD 20912-5979
(240) 705-0959
Mailing address
790 FAIRVIEW AVE, APPARTEMENT 413, TAKOMA PARK, MARYLAND 20912
(240) 705-0959
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
37
DC
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
T-352-174-080-684
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37
—
DC
Enumeration date
06/01/2012
Last updated
06/01/2012
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