Organization
KENGGA ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEM KENGGA (OWNER)
(951) 599-5658
Entity
Organization
Contact information
Practice address
34696 CHINABERRY DR, WINCHESTER, CA 92596-8866
(951) 599-5658
Mailing address
30724 BENTON RD, SUITE C 302-561, WINCHESTER, CA 92596-8442
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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