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NPI Code Detail

MEDICARE: TENDER MOMENTS HOME CARE, LLC

MEDICARE: TENDER MOMENTS HOME CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency31363601PA

General Provider Information

NPI Number : 1215470430
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENDER MOMENTS HOME CARE, LLC
Provider Business Mailing Address
First Line : 1708 ELSTON ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-1521
Country : US
Telephone Number : 267-443-0955
Fax Number :
Provider Business Practice Location Address
First Line : 1708 ELSTON ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-1521
Country : US
Telephone Number : 267-443-0955
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KELLI EDMONDS
Credential :
Telephone Number : 267-443-0955
Provider Enumeration Date : 11/19/2016
Last Update Date : 11/19/2016

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Directions to “TENDER MOMENTS HOME CARE, LLC ” Practice Location

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