Healthcare Provider Details

I. General information

NPI: 1669126983
Provider Name (Legal Business Name): KOFMA HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2022
Last Update Date: 02/06/2022
Certification Date: 02/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 HERITAGE DR
HARLEYSVILLE PA
19438-3955
US

IV. Provider business mailing address

208 HERITAGE DR
HARLEYSVILLE PA
19438-3955
US

V. Phone/Fax

Practice location:
  • Phone: 215-272-2559
  • Fax:
Mailing address:
  • Phone: 215-272-2559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ASAMOAH T KUFFUOR
Title or Position: PRESIDENT
Credential:
Phone: 215-272-2559