Organization
KINCARE HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDERS RODRIGUEZ (PRESIDENT)
(484) 436-2823
Entity
Organization
Contact information
Practice address
56 SUNGLO DR, LEESPORT, PA 19533-8672
(484) 750-5092
(484) 214-1360
Mailing address
56 SUNGLO DR, LEESPORT, PA 19533-8672
(484) 750-5092
(484) 214-1360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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