| Organization Name: | KINGS CARE CENTERS LLC |
| NPI Number: | 1093096547 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAIL MURRAY (ADMINISTRATOR) |
| Mailing Address: | 249 Design Pt Toccoa |
| State: | GA US |
| Postal Code: | 305777904 |
| Phone Number: | 7063916966 |
| Fax Number: | 7063916350 |
| NPI Enumeration Date: | 08/29/2011 |
| NPI Last Update Date: | 08/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |