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Immanuel Care Support Services

In Home Supportive Care in Philadelphia, PA. Organization (NPI-2).

NPI number1003203571
StatusActive
Last updated in NPPESApr 30, 2015

Details

NPI
1003203571
Entity type
Organization (NPI-2)
Legal business name
Immanuel Care Support Services
Organization subpart
No
Enumeration date
Apr 22, 2015
Last updated
Apr 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care–PAYes
251S00000X Community/Behavioral Health–PA

Practice location

6641 Dorel St
Philadelphia, PA 19142-2618

Phone 267-403-8313

Mailing address

6641 Dorel St
Philadelphia, PA 19142-2618

Phone 267-403-8313

Authorized official

Hawa A Kamara
President/Ceo
2674038313

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