| Organization Name: | KLM HEALTHCARE AGENCY INC |
| NPI Number: | 1891848503 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA RUTH GREEN (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 4807 N State St Suite 402 Jackson |
| State: | MS US |
| Postal Code: | 392064826 |
| Phone Number: | 6013627690 |
| Fax Number: | 6013627691 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | R804231 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |