Provider Demographics
NPI:1386329878
Name:KING, SESEES
Entity type:Individual
Prefix:
First Name:SESEES
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2503 SE 15TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-2113
Mailing Address - Country:US
Mailing Address - Phone:561-513-7941
Mailing Address - Fax:
Practice Address - Street 1:2503 SE 15TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-2113
Practice Address - Country:US
Practice Address - Phone:561-513-7941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No251J00000XAgenciesNursing Care
No374U00000XNursing Service Related ProvidersHome Health Aide