Provider Demographics
NPI:1093776387
Name:K AND D PERSONAL CARE LLC
Entity Type:Organization
Organization Name:K AND D PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:POE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-483-4667
Mailing Address - Street 1:5900 EAST VIRGINIA BEACH BLVD
Mailing Address - Street 2:JANAF BUILDING STE 602
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2490
Mailing Address - Country:US
Mailing Address - Phone:757-483-4667
Mailing Address - Fax:757-483-4677
Practice Address - Street 1:5900 EAST VIRGINIA BEACH BLVD
Practice Address - Street 2:JANAF STE 602
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-2490
Practice Address - Country:US
Practice Address - Phone:757-483-4667
Practice Address - Fax:757-483-4677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty