Greater Etheyln Homecare
Licensed Practical Nurse in Philadelphia, PA. Organization (NPI-2).
NPI number1013589340
StatusActive
Last updated in NPPESAug 21, 2024
Details
- NPI
- 1013589340
- Entity type
- Organization (NPI-2)
- Legal business name
- Greater Etheyln Homecare
- Organization subpart
- No
- Enumeration date
- Jul 15, 2021
- Certification date
- Aug 21, 2024
- Last updated
- Aug 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | – | – | Yes |
Practice location
644 S Yewdall StPhiladelphia, PA 19143-2522
Phone 215-608-9443
Mailing address
644 S Yewdall StPhiladelphia, PA 19143-2522
Phone 215-608-9443
Authorized official
Kaseem Starkey
Ceo
2154767550
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