| Kaleo Support, Inc. | |
|
4334 Nine Iron Dr Ayden NC 28513-5400 | |
| (910) 322-2755 | |
| (910) 339-2808 |
| Full Name | Kaleo Support, Inc. |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 4334 Nine Iron Dr, Ayden, North Carolina |
| Authorized Official Name and Position | Nancy Szymkowiak (PRESIDENT) |
| Authorized Official Contact | 9106302255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleo Support, Inc. 3718 Golfview Rd Hope Mills NC 28348-2818 Ph: (910) 322-2755 | Kaleo Support, Inc. 4334 Nine Iron Dr Ayden NC 28513-5400 Ph: (910) 322-2755 |
| NPI Number | 1588027833 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588027833 | NPI | - | NPPES |
| 3418487 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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