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Organization

KP HOME HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WALEA T KOFA-PAYNE (OWNER)
(267) 235-5270
Entity
Organization

Contact information

Practice address
7748 JACKSON ST, PHILADELPHIA, PA 19136-3252
(267) 235-5270
Mailing address
7748 JACKSON ST, PHILADELPHIA, PA 19136-3252
(267) 235-5270

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/14/2026
Last updated
01/14/2026
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