Healthcare Provider Details

I. General information

NPI: 1285055822
Provider Name (Legal Business Name): ONE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2013
Last Update Date: 12/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 GEIGER RD 207
PHILADELPHIA PA
19115-1013
US

IV. Provider business mailing address

248 GEIGER RD 207
PHILADELPHIA PA
19115-1013
US

V. Phone/Fax

Practice location:
  • Phone: 240-506-9577
  • Fax:
Mailing address:
  • Phone: 240-506-9577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MATUTU M NYABANGE
Title or Position: CEO
Credential:
Phone: 240-506-9577