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NPI Code Detail

MEDICARE: NEEO HOMECARE SERVICES LLC

MEDICARE: NEEO HOMECARE SERVICES 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1306544713
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEEO HOMECARE SERVICES LLC
Provider Business Mailing Address
First Line : 8921 MAXWELL PL
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-1517
Country : US
Telephone Number : 215-433-2569
Fax Number :
Provider Business Practice Location Address
First Line : 8921 MAXWELL PL
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-1517
Country : US
Telephone Number : 215-433-2569
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : NKEMDILIM OMESIETE
Credential :
Telephone Number : 215-433-2569
Provider Enumeration Date : 02/16/2023
Last Update Date : 02/16/2023

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Directions to “NEEO HOMECARE SERVICES LLC ” Practice Location

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