Organization
KPB ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BOONE (OWNER)
(948) 206-8804
Entity
Organization
Contact information
Practice address
1312 MONARCH REACH, CHESAPEAKE, VA 23320-6464
(948) 206-8804
Mailing address
1312 MONARCH REACH, CHESAPEAKE, VA 23320-6464
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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