NPI | 1982394227 |
---|---|
Doing Business As | KINGDOM HOME CARE AGENCY LLC |
Former Legal Business Name | KINGDOM HOME CARE AGENCY LLC |
Entity Type | Organization |
Authorized Contact | DEJUANNA LASHAY PUCKETT Owner 575-390-6707 |
Organization Subpart ? | No |
Primary Taxonomy | 376J00000X Homemaker |
Enumeration Date | 2023-05-10 |
Last Update Date | 2023-05-10 |