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Organization
MEDIORA ELEVUS DIVERSIFIED
Active
Organization
MEDIORA ELEVUS DIVERSIFIED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHIDAH JACKSON LPN (CEO)
(856) 676-1946
Entity
Organization
Contact information
Practice address
388 CANTERBURY RD, BUSHKILL, PA 18324-9055
(215) 933-2562
Mailing address
30 S 15TH ST STE 1550, PHILADELPHIA, PA 19102-4806
(215) 933-2562
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/29/2026
Last updated
08/29/2026
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