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Organization
LEAD RESOURCE SERVICES LLC
Active
Organization
LEAD RESOURCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMAIYAH MOSS (CEO)
(215) 485-1609
Entity
Organization
Contact information
Practice address
4442 RIDGE AVE, PHILADELPHIA, PA 19129-1856
(215) 485-1609
Mailing address
45 E CITY AVE UNIT 643, BALA CYNWYD, PA 19004-2421
(215) 485-1609
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251E00000X
Home Health Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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