| NPI | 1447917323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE TILLMAN Owner 215-668-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174200000X |
| 253Z00000X In Home Supportive Care | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 302F00000X Exclusive Provider Organization | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 332U00000X Home Delivered Meals | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2021-11-26 |