Organization
KINGDOM CAREGIVERS LLC
Active
Other names
Kingdom Caregivers
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR KHAN (ADMINISTRATOR)
(267) 459-5990
Entity
Organization
Contact information
Practice address
1300 N ORIANNA ST, PHILADELPHIA, PA 19122-4410
(267) 459-5990
Mailing address
1300 N ORIANNA ST, PHILADELPHIA, PA 19122-4410
(267) 459-5990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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