Kingdom Home Care Agency LLC

NPI #1982394227 in Hobbs, New Mexico

Provider Information

NPI Number: 1982394227
Entity Type: Organization
Organization Name: Kingdom Home Care Agency LLC
Primary Specialty: Homemaker
Enumeration Date: May 10, 2023
Last Updated: May 10, 2023

Practice Location

Address: 3901 N CENTRAL DR APT 1043901N
City: Hobbs
State: New Mexico
ZIP Code: 88240-1143
Phone: (575) 390-6707

Authorized Official

Name: DEJUANNA LASHAY PUCKETT
Title: OWNER
Phone: (575) 390-6707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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Dejuanna Lashay Puckett	Homemaker	Hobbs	AI Deep Dive
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