Kween5464 Corporation
Kween5464 Corporation is an In Home Supportive Care Agency in Winston Salem, North Carolina. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1826 E 4th StWinston Salem, NC 27101-4606
Phone: (336) 582-9156
Fax: (888) 682-1348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|
Record details
| NPI number | 1912535097 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Kween5464 Corporation |
| Authorized official | Kimberly Pettigrew — Owner/Director · (336) 582-9156 |
| Other names | At Home Eldercare Of Winston Salem; At Home Eldercare Of Winston Salem |
| NPI enumerated | April 1, 2020 |
| Last updated in NPPES | August 9, 2021 |
| Certification date | August 9, 2021 |
| Mailing address | Po Box 561, Winston Salem, NC 27102-0561 |
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