Organization
KET CARES & EDUCATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KETIA ALEXANDRE RN, MSN (OWNER)
(305) 804-2959
Entity
Organization
Contact information
Practice address
3411 LINECREST RD, ELLENWOOD, GA 30294-1843
(305) 804-2959
Mailing address
101 FAIRVIEW RD # 125, ELLENWOOD, GA 30294-2722
(305) 804-2959
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
163W00000X
Registered Nurse
—
—
163WC1600X
Continuing Education/Staff Development Registered Nurse
—
—
163WR0006X
Registered Nurse First Assistant
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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