NPI 1184055022

Kam Quality Home Care, LLC

Organisation Health Maintenance Organization Black Jack, MO

Practice location

Address: 5110 Midday Dr, Black Jack, MO 63033-8521
Phone: (314) 741-9981
Fax: (314) 741-9982

Authorised official

Name: Marilyn Denise Hubbard
Title: Ceo/Owner
Phone: (314) 741-9981

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 302R00000X (MO)

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Registry record

NPI: 1184055022
Entity type: Organization
NPI issued: 3 Dec 2013
Record last updated: 3 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.