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NPI Code Detail

MEDICARE: KITHS INTEGRATED AND TARGETED HUMAN SERVICES

MEDICARE: KITHS INTEGRATED AND TARGETED HUMAN SERVICES
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
1171M00000XCase Manager/Care Coordinator
2251B00000XCase Management Agency

General Provider Information

NPI Number : 1790214922
Entity Type Code : Organization
Provider Name (Legal Business Name) : KITHS INTEGRATED AND TARGETED HUMAN SERVICES
Provider Business Mailing Address
First Line : 768 DEVONSHIRE DR
Second Line :
City : WILLIAMSTOWN
State : NJ
Zip : 08094-3896
Country : US
Telephone Number : 215-760-2136
Fax Number :
Provider Business Practice Location Address
First Line : 4923 OLD YORK RD FL 1
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19141-2763
Country : US
Telephone Number : 215-278-6222
Fax Number : 215-914-6961
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. NARY PREAP KITH
Credential : PHD
Telephone Number : 215-278-6222
Provider Enumeration Date : 06/10/2017
Last Update Date : 06/19/2024

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Directions to “KITHS INTEGRATED AND TARGETED HUMAN SERVICES ” Practice Location

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