Healthcare Provider Details

I. General information

NPI: 1023585460
Provider Name (Legal Business Name): ENJOY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2018
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2908 FRENCH ST
PHILADELPHIA PA
19121-1218
US

IV. Provider business mailing address

2908 FRENCH ST
PHILADELPHIA PA
19121-1218
US

V. Phone/Fax

Practice location:
  • Phone: 267-736-6895
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATRINA ALLEN
Title or Position: PRESIDENT
Credential:
Phone: 267-736-6895