Organization
KB HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWAKU BOATENG (CHIEF EXECUTIVE OFFICER)
(571) 274-0444
Entity
Organization
Contact information
Practice address
462 HERNDON PKWY STE 206, HERNDON, VA 20170-5235
(571) 274-0444
(703) 552-7676
Mailing address
462 HERNDON PKWY STE 206, HERNDON, VA 20170-5235
(571) 274-0444
(703) 552-7676
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
02/07/2024
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