National Provider Identifier Database

KINGDOM CARE LLC
Respite Care


Contact Information

KINGDOM CARE, LLC
349 COUNTY ROAD 273
SHUBUTA, MS39360-8918
Phone: 601-274-2831
Fax:
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X
In Home Supportive Care 253Z00000X
Respite Care, Physical Disabilities, Child 385HR2065X

* Indicates primary specialty

NPI Profile & details for KINGDOM CARE, LLC

NPI Number 1548992837
Legal business name
LBN
KINGDOM CARE, LLC
Authorized official DETRA MCCARTY - (OWNER, DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/27/2022
Last updated 06/27/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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