Innocent Anyanwu
Home Health Aide in Philadelphia, PA. Individual provider (NPI-1).
NPI number1750032215
StatusActive
Last updated in NPPESJan 15, 2022
Details
- NPI
- 1750032215
- Entity type
- Individual (NPI-1)
- Name
- Innocent Anyanwu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2022
- Certification date
- Jan 15, 2022
- Last updated
- Jan 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
2560 S 66th StPhiladelphia, PA 19142-2701
Phone 267-521-8930
Mailing address
107 Jessica Lyn DrDover, DE 19904-1489
Phone 267-521-8930
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