MEDICARE: KMA HEALTH SERVICES PA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	261QD1600X	Developmental Disabilities Clinic/Center
3	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003622481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KMA HEALTH SERVICES PA INC

Provider Business Mailing Address
First Line	:	6 NESHAMINY INTERPLEX # 204
Second Line	:
City	:	TREVOSE
State	:	PA
Zip	:	19053-6964
Country	:	US
Telephone Number	:	202-558-8804
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 NESHAMINY INTERPLEX # 204
Second Line	:
City	:	TREVOSE
State	:	PA
Zip	:	19053-6964
Country	:	US
Telephone Number	:	202-558-8804
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROSINE BELEHO
Credential	:
Telephone Number	:	202-558-8804

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	12/10/2024

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