Provider Demographics
NPI:1720215585
Name:KLR INTERESTS, INC.
Entity Type:Organization
Organization Name:KLR INTERESTS, INC.
Other - Org Name:HEALTH HORIZONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LARGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-518-2800
Mailing Address - Street 1:PO BOX 2552
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23450-2552
Mailing Address - Country:US
Mailing Address - Phone:757-518-2800
Mailing Address - Fax:757-518-2801
Practice Address - Street 1:5716 SOUTHERN BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-2409
Practice Address - Country:US
Practice Address - Phone:757-518-2800
Practice Address - Fax:757-518-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-0986251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health