Organization
KING OF KINGS HOME HEALTH CARE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY WILLIAM MCKEE JR. (CEO)
(651) 329-4047
Entity
Organization
Contact information
Practice address
200 3RD ST S, SUITE 200, STILLWATER, MN 55082-4903
(651) 329-4047
(651) 351-0503
Mailing address
200 3RD ST S, SUITE 200, STILLWATER, MN 55082-4903
(651) 329-4047
(651) 351-0503
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
355568
MN
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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