Organization
TEAM KTK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRICK JUNIEL (OWNER)
(870) 885-0421
Entity
Organization
Contact information
Practice address
230 PEACH ST, BEARDEN, AR 71720-9596
(870) 885-0421
Mailing address
230 PEACH ST, BEARDEN, AR 71720-9596
(870) 885-0421
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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