Provider Demographics
NPI:1467888305
Name:K&B PICHETTE ENTERPRISES, INC.
Entity Type:Organization
Organization Name:K&B PICHETTE ENTERPRISES, INC.
Other - Org Name:INTERIM HEALTHCARE OF AMADOR, CALAVERAS AND TUOLUMNE COUNTIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PICHETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-223-9119
Mailing Address - Street 1:11992 STATE HIGHWAY 88
Mailing Address - Street 2:SUITE 2046
Mailing Address - City:JACKSON
Mailing Address - State:CA
Mailing Address - Zip Code:95642-9404
Mailing Address - Country:US
Mailing Address - Phone:209-787-5577
Mailing Address - Fax:209-787-5576
Practice Address - Street 1:11992 STATE HIGHWAY 88
Practice Address - Street 2:SUITE 2046
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642-9404
Practice Address - Country:US
Practice Address - Phone:209-787-5577
Practice Address - Fax:209-787-5576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health