| NPI | 1487013868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERACHAIH EFOGHE Administrator 215-600-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA 06360501) |
| Additional Taxonomies | 251E00000X Home Health (Licence: PA 22753601) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-09-09 |