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Organization
WATERSHED AND ARK OF SALVATION MINISTRIES
Active
Organization
WATERSHED AND ARK OF SALVATION MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA EBUN OGUNLOKUN (ADMINISTRATOR)
(267) 575-0858
Entity
Organization
Contact information
Practice address
5265 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-1720
(267) 575-0858
Mailing address
5265 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-1720
(267) 575-0858
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
33853601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33853601
HOME CARE AGENCY
PA
Enumeration date
07/25/2017
Last updated
07/21/2022
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