Organization
KINGZKID HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEMI OGUNSANYA (ADMINISTRATOR)
(773) 653-6237
Entity
Organization
Contact information
Practice address
1801 W TOUHY AVE UNIT C, CHICAGO, IL 60626-2335
(773) 653-6237
Mailing address
1801 W TOUHY AVE UNIT C, CHICAGO, IL 60626-2335
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4000663
—
IL
Enumeration date
05/17/2021
Last updated
05/17/2021
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