# GREATER ETHEYLN HOMECARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013589340
- **Authorized official:** KASEEM STARKEY LPN (CEO)
- **Authorized official phone:** (215) 476-7550

## Contact information

- **Practice address:** 644 S YEWDALL ST, PHILADELPHIA, PA 19143-2522
- **Practice address phone:** (215) 608-9443
- **Mailing address:** 644 S YEWDALL ST, PHILADELPHIA, PA 19143-2522
- **Mailing address phone:** (215) 608-9443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2021
- **Last updated:** 08/21/2024