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Organization
INTENTIONAL CARE HOMECARE LLC
Active
Organization
INTENTIONAL CARE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRA ELAM (PRESIDENT)
(267) 320-2874
Entity
Organization
Contact information
Practice address
316 N FELTON ST, PHILADELPHIA, PA 19139-1103
(267) 320-2874
Mailing address
316 N FELTON ST, PHILADELPHIA, PA 19139-1103
(267) 320-2874
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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