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NPI Code Detail

MEDICARE: ADJUAHOME CARE LLC

MEDICARE: ADJUAHOME CARE LLC
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1265271316
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADJUAHOME CARE LLC
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 “ADJUAHOME CARE LLC ” Practice Location

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