Organization
KING NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA A KING LPN (CEO)
(773) 491-8323
Entity
Organization
Contact information
Practice address
4316 W ADAMS ST APT 2E, CHICAGO, IL 60624-2641
(773) 491-8323
Mailing address
4316 W ADAMS ST APT 2E, CHICAGO, IL 60624-2641
(773) 491-8323
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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