Provider Demographics
NPI:1154165298
Name:JULIAKINGS CARE & CO LLC
Entity type:Organization
Organization Name:JULIAKINGS CARE & CO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANA
Authorized Official - Middle Name:FEH
Authorized Official - Last Name:FOKUM
Authorized Official - Suffix:X
Authorized Official - Credentials:RN
Authorized Official - Phone:602-668-8946
Mailing Address - Street 1:4395 WATOGA DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2746
Mailing Address - Country:US
Mailing Address - Phone:602-668-8946
Mailing Address - Fax:
Practice Address - Street 1:4395 WATOGA DR
Practice Address - Street 2:
Practice Address - City:LIBERTY TWP
Practice Address - State:OH
Practice Address - Zip Code:45011-2746
Practice Address - Country:US
Practice Address - Phone:602-668-8946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care