MEDICARE: DAILY DOVE 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356892699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAILY DOVE CARE, LLC

Provider Business Mailing Address
First Line	:	1700 MARKET ST
Second Line	:	SUITE 1005
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-3913
Country	:	US
Telephone Number	:	215-809-1639
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 MARKET ST
Second Line	:	SUITE 1005
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-3913
Country	:	US
Telephone Number	:	215-809-1639
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	FADWA ROBINSON
Credential	:
Telephone Number	:	215-809-1639

Provider Enumeration Date	:	10/21/2016
Last Update Date	:	10/21/2016

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