Organization
KAY TENDER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NERLIN STFLEUR (ADMINISTRATOR)
(561) 317-0764
Entity
Organization
Contact information
Practice address
178 GLEN EAGLE WAY, MCDONOUGH, GA 30253-4228
(561) 317-0764
(404) 341-7626
Mailing address
178 GLEN EAGLE WAY, MCDONOUGH, GA 30253-4228
(561) 317-0764
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006
—
GA
Enumeration date
01/23/2023
Last updated
01/23/2023
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