Kaho Healthcare Training Facility, LLC

Organization Active NPI Public Health or Welfare Agency · Fayette, MS

NPI 1083369979 · NPPES record last updated Feb 18, 2022

Key facts

NPI
1083369979
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
KAHO HEALTHCARE TRAINING FACILITY, LLC
Practice address
90 Avendale Road
Fayette, MS 39069-3906
Phone
(601) 451-5018
Fax
(601) 451-5018
NPI assigned
Feb 18, 2022
Organization subpart
No

Authorized official

Name
Mrs. Alicia Berry-Kaho, LPN
Title
Director
Phone
(601) 451-5018

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Yes

Addresses

Primary practice location

90 Avendale Road
Fayette, MS 39069-3906

Mailing address

PO Box 2252
Fayette, MS 39069-2252
Phone (601) 451-5018

Other providers in Fayette, MS

All providers in Fayette, MS · Public Health or Welfare Agency in Mississippi

Sources for this page

Verify at the official NPI Registry.