Organization
KINGDOM HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMEENA HAYNES (ADMINISTRATOR)
(770) 570-6035
Entity
Organization
Contact information
Practice address
8899 ASHTON RD, PHILADELPHIA, PA 19136-1034
(267) 303-4601
Mailing address
8899 ASHTON RD, PHILADELPHIA, PA 19136-1034
(267) 303-4601
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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