Healthcare Provider Details

I. General information

NPI: 1134987613
Provider Name (Legal Business Name): YANA MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 03/11/2024
Certification Date: 03/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 WISTAR DR
WYNCOTE PA
19095-2313
US

IV. Provider business mailing address

1420 WISTAR DR
WYNCOTE PA
19095-2313
US

V. Phone/Fax

Practice location:
  • Phone: 215-987-6292
  • Fax:
Mailing address:
  • Phone: 215-987-6292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. MAURICE MYERS
Title or Position: OWNER
Credential:
Phone: 215-987-6292