| NPI | 1346739216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA E PACHECO Co Owner/LLC Co President 610-507-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |