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Independence Care Of Philadelphia, LLC.

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

NPI number1013574367
StatusActive
Last updated in NPPESNov 30, 2020

Details

NPI
1013574367
Entity type
Organization (NPI-2)
Legal business name
Independence Care Of Philadelphia, LLC.
Organization subpart
No
Enumeration date
May 22, 2019
Certification date
Nov 30, 2020
Last updated
Nov 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
251E00000X Home Health––

Practice location

3330 N Front St
Philadelphia, PA 19140-5808

Phone 267-405-4686

Mailing address

517 W Saddle River Rd
Upper Saddle River, NJ 07458-1138

Authorized official

Philip Viar
Administrator
2674054686

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