# WHITE LILY HOME CARE INC

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

## Provider details

- **NPI number:** 1164875696
- **Authorized official:** MS. MARIE TONDALAYA CLACK LPN, BA (PRESIDENT/ADMINISTRATOR)
- **Authorized official phone:** (215) 874-7444

## Contact information

- **Practice address:** 4915 WYNNEFIELD AVENUE, 1AF, WYNNEFIELD HEIGHTS, PA 19131
- **Practice address phone:** (215) 874-7444
- **Mailing address:** 4915 WYNNEFIELD AVENUE, 1AF, WYNNEFIELD HEIGHTS, PA 19131
- **Mailing address phone:** (215) 874-7444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 30513601 | PA | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 10/15/2019