| 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 |