NPI 1013667732
Kingdom Healthcare Services
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
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.