Whalio Doctors

NPI 1013667732

Kingdom Healthcare Services

Organisation Developmental Disabilities Clinic/Center Homestead, FL

Practice location

Address
1001 NE 15th St, Homestead, FL 33030-4956
Phone
(314) 620-6002

Authorised official

Name
Ketly Angoma
Title
Owner
Phone
(314) 620-6002

Registered specialties

Developmental Disabilities Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QD1600X

Registry record

NPI
1013667732
Entity type
Organization
NPI issued
25 Mar 2022
Record last updated
25 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.