Provider Demographics
NPI:1841691318
Name:KINGS HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:KINGS HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KING
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:BINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-814-4056
Mailing Address - Street 1:11417 HAWK RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1451
Mailing Address - Country:US
Mailing Address - Phone:301-814-4056
Mailing Address - Fax:650-489-3075
Practice Address - Street 1:11417 HAWK RIDGE CT
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1451
Practice Address - Country:US
Practice Address - Phone:301-814-4056
Practice Address - Fax:650-489-3075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities