Organization
1KEMS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYAH KEOCHINDA (OWNER/PRESIDENT)
(469) 987-9265
Entity
Organization
Contact information
Practice address
5867 CANDLELIGHT LN, GRAND PRAIRIE, TX 75052-8592
(469) 987-9265
Mailing address
5867 CANDLELIGHT LN, GRAND PRAIRIE, TX 75052-8592
(469) 987-9265
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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