Organization
KIM HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KIM (OWNER/PRESIDENT)
(201) 835-5122
Entity
Organization
Contact information
Practice address
128 ENGLE ST, 1ST FL, STE B, ENGLEWOOD, NJ 07631-2576
(201) 835-5122
Mailing address
574 STEWART ST, RIDGEFIELD, NJ 07657-1928
(201) 835-5122
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
08/06/2024
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