Organization
KAKUA HEALTH AND HUMAN SERVICES PA INCOPORATION INC.
Active
Organization
KAKUA HEALTH AND HUMAN SERVICES PA INCOPORATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER BOKON MAMMY RN-BSN (PRESIDENT/ CEO)
(302) 590-8740
Entity
Organization
Contact information
Practice address
119 N 58TH ST, PHILADELPHIA, PA 19139-2414
(302) 590-8740
Mailing address
119 N 58TH ST, PHILADELPHIA, PA 19139-2414
(302) 590-8740
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
04/06/2026
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