Healthcare Provider Details

I. General information

NPI: 1194421453
Provider Name (Legal Business Name): EFORDDASERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6523 FRANKFORD AVE
PHILADELPHIA PA
19135-2753
US

IV. Provider business mailing address

6523 FRANKFORD AVE
PHILADELPHIA PA
19135-2753
US

V. Phone/Fax

Practice location:
  • Phone: 844-753-3673
  • Fax: 866-388-1939
Mailing address:
  • Phone: 844-753-3673
  • Fax: 866-388-1939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EDRISA HYLAND
Title or Position: FOUNDER
Credential:
Phone: 844-753-3673