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1013667732
KINGDOM HEALTHCARE SERVICES
HOMESTEAD, FL
NPI
1013667732
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Entity Type
Organization
Authorized Contact
KETLY ANGOMA
Owner
314-620-6002
Organization Subpart ?
No
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
KINGDOM HEALTHCARE SERVICES
1001 NE 15TH ST
HOMESTEAD, FL 33030-4956
Phone number: 314-620-6002
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Mailing Address
KINGDOM HEALTHCARE SERVICES
1001 NE 15TH ST
HOMESTEAD, FL 33030-4956
Phone number: 314-620-6002
Copy
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