Organization
K & M PRIVATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ELLEN GOINS-HUGHES ADMINISTRATOR,PSSA (OWNER/ADMINISTRATOR)
(423) 285-5246
Entity
Organization
Contact information
Practice address
301 KEITH DR, SPRING CITY, TN 37381-5380
(423) 285-5246
(423) 285-5337
Mailing address
301 KEITH DR, SPRING CITY, TN 37381-5380
(423) 285-5246
(423) 285-5337
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
I438-087-9138
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445213
—
TN
Enumeration date
07/23/2009
Last updated
07/23/2009
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