Provider Demographics
NPI:1962912220
Name:KAHLA SERVICES
Entity type:Organization
Organization Name:KAHLA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REEMA
Authorized Official - Middle Name:FARIA
Authorized Official - Last Name:FARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-900-3881
Mailing Address - Street 1:20109 NATURES HIKE WAY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3581
Mailing Address - Country:US
Mailing Address - Phone:813-900-3881
Mailing Address - Fax:
Practice Address - Street 1:20109 NATURES HIKE WAY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3581
Practice Address - Country:US
Practice Address - Phone:813-900-3881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-01
Last Update Date:2017-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health