Organization
TKB HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA WHITT (OWNER)
(314) 839-1210
Entity
Organization
Contact information
Practice address
580 N HIGHWAY 67 ST, SUITE 6A, FLORISSANT, MO 63031-5130
(314) 839-1210
(314) 831-3577
Mailing address
580 N HIGHWAY 67 ST, SUITE 6A, FLORISSANT, MO 63031-5130
(314) 839-1210
(314) 831-3577
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/19/2016
Last updated
03/15/2016
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