Provider Demographics
NPI:1477947919
Name:KVS HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:KVS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ADEOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLABODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-464-8448
Mailing Address - Street 1:660 CAMPOLINA DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-2556
Mailing Address - Country:US
Mailing Address - Phone:972-464-8448
Mailing Address - Fax:214-412-3722
Practice Address - Street 1:660 CAMPOLINA DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-2556
Practice Address - Country:US
Practice Address - Phone:972-464-8448
Practice Address - Fax:214-412-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health