| Organization Name: | THREE K'S CARE SERVICES, INC. |
| NPI Number: | 1184824534 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | QUEENA KOTU SLOAN (LPN/ CEO) |
| Mailing Address: | 7601 36th Ave N Crystal |
| State: | MN US |
| Postal Code: | 554272014 |
| Phone Number: | 7635461117 |
| Fax Number: | 7635461118 |
| NPI Enumeration Date: | 07/24/2007 |
| NPI Last Update Date: | 10/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | 340724 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |