Provider Demographics
NPI:1821750050
Name:KASDEC LLC
Entity Type:Organization
Organization Name:KASDEC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:EUDENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-577-7945
Mailing Address - Street 1:7702 LOUISE LN
Mailing Address - Street 2:
Mailing Address - City:WYNDMOOR
Mailing Address - State:PA
Mailing Address - Zip Code:19038-8537
Mailing Address - Country:US
Mailing Address - Phone:267-577-7945
Mailing Address - Fax:215-836-2861
Practice Address - Street 1:7702 LOUISE LN
Practice Address - Street 2:
Practice Address - City:WYNDMOOR
Practice Address - State:PA
Practice Address - Zip Code:19038-8537
Practice Address - Country:US
Practice Address - Phone:267-577-7945
Practice Address - Fax:215-836-2861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care