Organization
KENNEDY INTENSIVE IN HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA KENNEDY (OWNER)
(704) 690-2274
Entity
Organization
Contact information
Practice address
809 REDWOOD LN, CHESTER, SC 29706-3769
(704) 690-2274
Mailing address
216 WORTHAM ST, WADESBORO, NC 28170-2424
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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