Organization
MK HEALTH SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKICA BASTFIELD (OWNER)
(980) 273-2726
Entity
Organization
Contact information
Practice address
5513 MONROE RD STE 207, CHARLOTTE, NC 28212-5503
(980) 273-2726
Mailing address
5513 MONROE RD STE 207, CHARLOTTE, NC 28212-5503
(980) 273-2726
(704) 332-9325
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
02/01/2023
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