Provider Demographics
NPI:1174898886
Name:KULKA KARES, LLC
Entity type:Organization
Organization Name:KULKA KARES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FRANCHISE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KULKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-699-9525
Mailing Address - Street 1:2811 REIDVILLE RD
Mailing Address - Street 2:UNIT 21
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-5639
Mailing Address - Country:US
Mailing Address - Phone:864-699-9525
Mailing Address - Fax:864-699-9526
Practice Address - Street 1:2811 REIDVILLE RD
Practice Address - Street 2:UNIT 21
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-5639
Practice Address - Country:US
Practice Address - Phone:864-699-9525
Practice Address - Fax:864-699-9529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care