| NPI | 1952125239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE TINA HENDERSON CEO 215-278-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 177F00000X Lodging |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |