Organization
KINDRED LIGHT SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE PICKENS (CEO)
(919) 998-9611
Entity
Organization
Contact information
Practice address
210 W 19TH TER STE 150, KANSAS CITY, MO 64108-2162
(919) 998-9611
Mailing address
PO BOX 819, CARRBORO, NC 27510-0819
(919) 998-9611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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