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Organization
AGING AND DIVERSE HOME HEALTHCARE SERVICES LLC
Active
Organization
AGING AND DIVERSE HOME HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA WILLIAMS RN (ADMINISTRATOR)
(215) 991-6222
Entity
Organization
Contact information
Practice address
5537 GERMANTOWN AVE FL 1, PHILADELPHIA, PA 19144-2225
(215) 991-6222
Mailing address
5537 GERMANTOWN AVE FL 1, PHILADELPHIA, PA 19144-2225
(215) 991-6222
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RN527652L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019540140002
MA ID
PA
05
—
0019540140003
—
PA
Enumeration date
01/28/2009
Last updated
05/10/2021
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