Organization
KTVA HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TAYLOR (OWNER)
(919) 343-8866
Entity
Organization
Contact information
Practice address
1665 LOWER MONCURE RD, SANFORD, NC 27330
(919) 775-1192
(919) 770-0312
Mailing address
617 BARNES ST, SANFORD, NC 27330-4629
(919) 775-1192
(919) 770-0312
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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