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NPI Code Detail

MEDICARE: WATSON COMFORT CARE LLC

MEDICARE: WATSON COMFORT 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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1467173278
Entity Type Code : Organization
Provider Name (Legal Business Name) : WATSON COMFORT CARE LLC
Provider Business Mailing Address
First Line : 2916 S 62ND ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19142-3406
Country : US
Telephone Number : 215-681-9468
Fax Number :
Provider Business Practice Location Address
First Line : 2916 S 62ND ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19142-3406
Country : US
Telephone Number : 215-681-9468
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DIANE WEAVER
Credential :
Telephone Number : 215-681-9468
Provider Enumeration Date : 09/09/2022
Last Update Date : 09/09/2022

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Directions to “WATSON COMFORT CARE LLC ” Practice Location

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