MEDICARE: GROWING HAND HOME HEALTH CARE

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1255093332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWING HAND HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	544 E TULPEHOCKEN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-1039
Country	:	US
Telephone Number	:	267-690-6391
Fax Number	:

Provider Business Practice Location Address
First Line	:	544 E TULPEHOCKEN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-1039
Country	:	US
Telephone Number	:	267-690-6391
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. ANTIONETTE A SLADE
Credential	:
Telephone Number	:	267-690-6391

Provider Enumeration Date	:	10/06/2021
Last Update Date	:	10/06/2021

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Directions to “GROWING HAND HOME HEALTH CARE ” Practice Location

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