Kelencare INC

NPI #1174805196 in Bedford, Texas

Provider Information

NPI Number: 1174805196
Entity Type: Organization
Organization Name: Kelencare INC
Primary Specialty: Home Health
Enumeration Date: Sep 15, 2011
Last Updated: Sep 15, 2011

Practice Location

Address: 932 SIMPSON TER
Address 2: APT. 143
City: Bedford
State: Texas
ZIP Code: 76021-1932
Phone: (817) 656-5754

Authorized Official

Name: MR. KENNEDY M KEBASO, RN
Title: ADMINISTRATOR
Phone: (817) 656-5754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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