Organization
RN4KIDZ, LLC
Active
Other names
RN4KIDZ
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYMBYATTA GASTON EVANS RN, BSN (DIRECTOR)
(678) 310-5439
Entity
Organization
Contact information
Practice address
6496 BELLEVUE DR SW, CONYERS, GA 30094-4779
(678) 310-5439
Mailing address
6496 BELLEVUE DR SW, CONYERS, GA 30094-4779
(678) 310-5439
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN140835
GA
253Z00000X
In Home Supportive Care Agency
RN140835
GA
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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