MEDICARE: ADJUA HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1013756162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADJUA HOME CARE

Provider Business Mailing Address
First Line	:	1101 W GIRARD AVE APT 202F
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-1151
Country	:	US
Telephone Number	:	267-205-4303
Fax Number	:

Provider Business Practice Location Address
First Line	:	514 PARALLEL AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-3730
Country	:	US
Telephone Number	:	267-205-4303
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ADJUA KEEL
Credential	:
Telephone Number	:	267-205-4303

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	05/20/2024

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Directions to “ADJUA HOME CARE ” Practice Location

Language	Start Address	Practice Location

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