| NPI | 1003204439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYSHEENA WYNDER-PRESTON Owner 215-617-8519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: PA 1822022) |
| Additional Taxonomies | 251C00000X (Licence: PA 1822022) |
| 251E00000X Home Health (Licence: PA 1822022) | |
| 251G00000X Hospice Care, Community Based (Licence: PA 1822022) | |
| 251S00000X Community/Behavioral Health (Licence: PA 1822022) | |
| 253Z00000X In Home Supportive Care (Licence: PA 1822022) | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-08 |