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NPI Code Detail

MEDICARE: MAXIMUM HOME HEALTH CARE LLC

MEDICARE: MAXIMUM HOME HEALTH 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 Agency682444PA

General Provider Information

NPI Number : 1598138448
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAXIMUM HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 3019 S 68TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19142-3321
Country : US
Telephone Number : 347-259-7103
Fax Number :
Provider Business Practice Location Address
First Line : 4949 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-2669
Country : US
Telephone Number : 215-613-6290
Fax Number :
Authorized Official
Title or Position : FOUNDER/PRESIDENT
Name : ASSATA SYLLA
Credential :
Telephone Number : 347-259-7103
Provider Enumeration Date : 10/31/2015
Last Update Date : 10/31/2015

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Directions to “MAXIMUM HOME HEALTH CARE LLC ” Practice Location

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