Organization
KKC HOME CARE SERVICES LLC
Active
Other names
KKC HOME CARE SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN D NOUCH (CEO & FOUNDER)
(267) 703-3030
Entity
Organization
Contact information
Practice address
1012 W CHELTENHAM AVE, PHILADELPHIA, PA 19126-2314
(267) 703-3030
(267) 703-3031
Mailing address
525 EMERSON ST, PHILADELPHIA, PA 19111-1934
(267) 703-3030
(267) 703-3031
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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