Healthcare Provider Details

I. General information

NPI: 1447920046
Provider Name (Legal Business Name): RHONESHA PACK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 DOLTON RD
FEASTERVILLE TREVOSE PA
19053-6436
US

IV. Provider business mailing address

9 DOLTON RD
FEASTERVILLE TREVOSE PA
19053-6436
US

V. Phone/Fax

Practice location:
  • Phone: 215-617-7901
  • Fax:
Mailing address:
  • Phone: 215-617-7901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: