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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