Organization
KINDEST CARE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOLA AMON RN (DIRECTOR OF NURSING SERVICES)
(214) 394-7679
Entity
Organization
Contact information
Practice address
8400 BUSTLETON AVE, SUITE 2, PHILADELPHIA, PA 19152-1918
(215) 639-4646
Mailing address
8400 BUSTLETON AVE, SUITE 2, PHILADELPHIA, PA 19152-1918
(214) 394-7679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN568664
PA
251E00000X
Home Health Agency
Primary
03230501
PA
Other
Enumeration date
06/12/2007
Last updated
03/13/2015
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