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NPI Code Detail

MEDICARE: KAHAK PA INC

MEDICARE: KAHAK PA INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
2251C00000XDevelopmentally Disabled Services Day Training Agency
3261QD1600XDevelopmental Disabilities Clinic/Center
4320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
5320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6251E00000XHome Health Agency

General Provider Information

NPI Number : 1336955707
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAHAK 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 : 301-641-1514
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 : 301-641-1514
Fax Number :
Authorized Official
Title or Position : CEO
Name : MICHEL KAHAK
Credential :
Telephone Number : 301-641-1514
Provider Enumeration Date : 12/10/2024
Last Update Date : 12/10/2024

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