Organization
KEY HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKEYLA AMBRIEL CARLTON (OWNER)
(678) 779-0633
Entity
Organization
Contact information
Practice address
1900 RICE MINE RD N APT 411, TUSCALOOSA, AL 35406-2344
(678) 779-0633
Mailing address
1900 RICE MINE RD N APT 411, TUSCALOOSA, AL 35406-2344
(678) 779-0633
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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