Organization Name: | KOALA T CARE, INC |
NPI Number: | 1295002848 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DALE ALLAN KARWOWSKI (CFO AND SECRETARY) |
Mailing Address: | 141 Town Park Dr Advance |
State: | NC US |
Postal Code: | 270068605 |
Phone Number: | 3366714901 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2011 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HC4381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |