Organization
KAY'S KARING HANDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CERETHA STEPHENS APRN (OWNER)
(470) 588-7336
Entity
Organization
Contact information
Practice address
1561 VIRGINIA AVE STE 105A, COLLEGE PARK, GA 30337-2864
(470) 588-7336
(844) 557-6646
Mailing address
1779 STANTON RD SW, ATLANTA, GA 30311-4108
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP010427
GA HCFR DIVISION
GA
Enumeration date
06/12/2019
Last updated
06/12/2019
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