Organization
K-BEE HOMCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN DWIGHT GODWIN (ADMINISTRATOR)
(575) 762-9356
Entity
Organization
Contact information
Practice address
210 N MAIN ST, 901 FAIRMONT COURT, CLOVIS, NM 88101-7553
(575) 762-9356
(575) 763-3652
Mailing address
210 N MAIN ST, CLOVIS, NM 88101-7553
(575) 762-9356
(575) 763-3652
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407154941
—
NM
Enumeration date
07/27/2015
Last updated
07/03/2024
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