NPI | 1598232720 |
---|---|
Former Legal Business Name | COLLINS ADULT RESIDENTIAL CARE, LLC. |
Entity Type | Organization |
Authorized Contact | TOMEEKA LORRAINE COLLINS President 215-888-4559 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2018-10-25 |
Last Update Date | 2023-11-01 |