Organization
KIMS EXTENDED CARE SERVICES OF NORTHWEST IN.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLIAH DENISE WOODS I CERTIFIED NURSING AS (CEO)
(219) 663-6426
Entity
Organization
Contact information
Practice address
9358 MONROE CT APT 613, CROWN POINT, IN 46307-6222
(219) 663-6426
(219) 663-6426
Mailing address
9358 MONROE CT APT 613, CROWN POINT, IN 46307-6222
(219) 663-6426
(219) 663-6426
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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