| NPI | 1497242721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISA INEZ SHORT Owner/President/Administrator 215-783-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: PA 36743601) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: PA 36743601) |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: PA 36743601) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: PA 36743601) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: PA 36743601) | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care (Licence: PA 36743601) | |
| 332U00000X Home Delivered Meals (Licence: PA 36743601) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: PA 36743601) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2022-01-24 |