Organization
KC CARE MANAGEMENT,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL LAVALLE BLACKWELL JR. (PRESIDENT)
(919) 544-0257
Entity
Organization
Contact information
Practice address
5010 S ALSTON AVE, DURHAM, NC 27713-4425
(919) 544-0257
Mailing address
5010 S ALSTON AVE, DURHAM, NC 27713-4425
(919) 544-0257
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-032-071
NC
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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