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Organization
KYNNCARE HOME & COMMUNITY BASED SERVICES, INC.
Active
Organization
KYNNCARE HOME & COMMUNITY BASED SERVICES, INC.
Active
Other names
KynnCare Home & Community Based Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ALLEN (CFO)
(215) 207-8261
Entity
Organization
Contact information
Practice address
4351 MAIN ST, PHILADELPHIA, PA 19127-1470
(215) 207-8261
Mailing address
4351 MAIN ST, PHILADELPHIA, PA 19127-1470
(215) 207-8261
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07910501
PA DEPT OF HEALTH HOME HEALTH LICENSE NUMBER
PA
05
—
103768905-0001
—
PA
01
—
47643601
PA DEPT OF HEALTH HCA LICENSE NUMBER
PA
Enumeration date
04/08/2020
Last updated
10/19/2022
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