Organization
K. MADISON CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN PATTEN (OWNER/ADMINISTRATOR)
(267) 972-3280
Entity
Organization
Contact information
Practice address
4418 N 15TH ST, PHILADELPHIA, PA 19140-1927
(267) 972-3280
Mailing address
4418 N 15TH ST, PHILADELPHIA, PA 19140-1927
(267) 972-3280
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54003601
PA DEPT OF HEALTH HCA LICENSE NUMBER
PA
Enumeration date
05/23/2021
Last updated
05/23/2021
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