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General NPI Number Information
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NPI Number | 1023839586
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Entity Type | Organization
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Legal Business Name | ISOKE DEVELOPMENTAL SERVICES LLC
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 7924 ROLLING GREEN RD
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City | CHELTENHAM
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State | PA
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Zip | 19012-1710
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Country | US
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Telephone | 267-983-8856
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Fax |
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Provider Business Mailing Address
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Address Line | 2943 OLD WELSH RD APT 2
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City | WILLOW GROVE
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State | PA
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Zip | 19090-3835
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Country | US
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Telephone | 267-983-8856
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NJEMILE ISOKE
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Credential |
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Telephone | 267-983-8856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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