| J & E Mckinnie, Inc | |
|
3501 W. Vine Street Suite #275 Kissimmee FL 34741 | |
| (407) 847-6199 | |
| (407) 847-6170 |
| Full Name | J & E Mckinnie, Inc |
|---|---|
| Speciality | Registered Nurse - Home Health |
| Location | 3501 W. Vine Street, Kissimmee, Florida |
| Authorized Official Name and Position | Earline S. Mckinnie (CEO) |
| Authorized Official Contact | 4078476199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J & E Mckinnie, Inc 3501 W. Vine Street Suite #275 Kissimmee FL 34741 Ph: (407) 847-6199 | J & E Mckinnie, Inc 3501 W. Vine Street Suite #275 Kissimmee FL 34741 Ph: (407) 847-6199 |
| NPI Number | 1568693976 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 08/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568693976 | NPI | - | NPPES |
| 687098896 | Medicaid | FL | |
| 687098898 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1905 (Florida) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | 228769 (Florida) | Primary |
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