IMMACULATE MARY HOME

PHILADELPHIA, PA
NPI1780751115
Entity TypeOrganization
Authorized ContactMICHAEL CZEKNER
Chief Financial Officer
215-368-0900
Organization Subpart ?No
Primary Taxonomy332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition
(Licence: PA  090902)
Enumeration Date2006-11-29
Last Update Date2020-08-22
Business Address
IMMACULATE MARY HOME
2990 HOLME AVE
PHILADELPHIA, PA 19136-1830
Phone number: 215-335-2100
Mailing Address
IMMACULATE MARY HOME
2990 HOLME AVE
PHILADELPHIA, PA 19136-1830
Phone number: 215-335-2100