Organization
KINGDOM HEALTHCARE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE KAMUNGA MESU (OWNER)
(919) 772-3346
Entity
Organization
Contact information
Practice address
106 BROUGHTON ST, GARNER, NC 27529-3006
(919) 772-3346
(919) 975-2118
Mailing address
106 BROUGHTON ST, GARNER, NC 27529-3006
(919) 772-3346
(919) 975-2118
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4263
NC
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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