Organization
KBC HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIQUA JONES (HOME HEALTH AIDE)
(301) 732-2773
Entity
Organization
Contact information
Practice address
1508 NEAL ST NE APT 1, WASHINGTON, DC 20002-3969
(301) 732-2773
Mailing address
1508 NEAL ST NE APT 1, WASHINGTON, DC 20002-3969
(301) 732-2773
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
HHA11764
DC
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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