Provider Demographics
NPI:1306098611
Name:K & M HEALTHCARE INC
Entity type:Organization
Organization Name:K & M HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAUWOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-444-0037
Mailing Address - Street 1:6306 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-1349
Mailing Address - Country:US
Mailing Address - Phone:410-444-0037
Mailing Address - Fax:410-444-0038
Practice Address - Street 1:6306 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-1349
Practice Address - Country:US
Practice Address - Phone:410-444-0037
Practice Address - Fax:410-444-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2369251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD257800000Medicaid