Organization
KCS IN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOVANNA C WOODS (OPERATIONS MANAGER)
(269) 580-0830
Entity
Organization
Contact information
Practice address
6105 43RD AVE, HYATTSVILLE, MD 20781-1405
(269) 580-0830
Mailing address
85 ELMIRA ST SW, WASHINGTON, DC 20032-2248
(269) 580-0830
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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