Provider Demographics
NPI:1881835197
Name:D & K MANAGEMENT SERVICES INC
Entity Type:Organization
Organization Name:D & K MANAGEMENT SERVICES INC
Other - Org Name:KOMMUNITY KONNECTIONS HOME CARE AND STAFFING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-424-5120
Mailing Address - Street 1:900 S WILMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-2364
Mailing Address - Country:US
Mailing Address - Phone:919-424-5120
Mailing Address - Fax:919-741-4351
Practice Address - Street 1:900 S WILMINGTON ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-2364
Practice Address - Country:US
Practice Address - Phone:919-741-4351
Practice Address - Fax:919-741-4351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3782251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601891Medicaid