Organization
KALEO SUPPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SZYMKOWIAK (PRESIDENT)
(910) 630-2255
Entity
Organization
Contact information
Practice address
4334 NINE IRON DR, AYDEN, NC 28513-5400
(910) 322-2755
(910) 339-2808
Mailing address
3718 GOLFVIEW RD, HOPE MILLS, NC 28348-2818
(910) 322-2755
(910) 339-2808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418487
—
NC
Enumeration date
04/04/2016
Last updated
11/09/2021
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