MEDICARE: AYIDA AHLEEHA DELOATCHE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	376J00000X	Homemaker
3	374J00000X	Doula

General Provider Information

NPI Number	:	1083560775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYIDA AHLEEHA DELOATCHE

Provider Business Mailing Address
First Line	:	633 W RITTENHOUSE ST APT A302
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4330
Country	:	US
Telephone Number	:	215-485-1994
Fax Number	:

Provider Business Practice Location Address
First Line	:	1417 CLEARVIEW ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-2402
Country	:	US
Telephone Number	:	215-485-1994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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