Organization
KING HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARSLEISSA KING DEJESUS (ADMINISTRATOR)
(404) 850-6548
Entity
Organization
Contact information
Practice address
302 ERMINES WAY, MCDONOUGH, GA 30253-1904
(404) 850-6548
Mailing address
302 ERMINES WAY, MCDONOUGH, GA 30253-1904
(404) 850-6548
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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