Healthcare Provider Details

I. General information

NPI: 1982136818
Provider Name (Legal Business Name): 247 ALWAYS THERE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 03/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6915 PASCHALL AVE
PHILADELPHIA PA
19142-1818
US

IV. Provider business mailing address

6915 PASCHALL AVE
PHILADELPHIA PA
19142-1818
US

V. Phone/Fax

Practice location:
  • Phone: 267-259-3573
  • Fax:
Mailing address:
  • Phone: 267-259-3573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number732594
License Number StatePA

VIII. Authorized Official

Name: MS. SAMANTHA MULBAH
Title or Position: OWNER
Credential:
Phone: 267-259-3573