Organization
KOOMA HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEDWATTIE D KOOMA (OWNER)
(210) 875-3394
Entity
Organization
Contact information
Practice address
107 E MAIN ST STE 202B, BATH, PA 18014-1519
(610) 365-2383
(610) 365-2383
Mailing address
107 E MAIN ST STE 202B, BATH, PA 18014-1519
(610) 365-2383
(610) 365-2383
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
01/11/2023
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