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Organization
SUCCESSFUL AGING CARE NET INC
Active
Organization
SUCCESSFUL AGING CARE NET INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. INNOCENT ONWUBIKO MSHA, MSGS (OWNER)
(484) 461-8711
Entity
Organization
Contact information
Practice address
48 GARRETT RD, UPPER DARBY, PA 19082-2303
(484) 461-8711
(610) 284-4170
Mailing address
48 GARRETT RD, UPPER DARBY, PA 19082-2303
(484) 461-8711
(610) 284-4170
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
80200501
PA
332B00000X
Durable Medical Equipment & Medical Supplies
5418770001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011366320001
—
PA
05
—
1011366320002
—
PA
01
—
80200501
HOME HEALTHCARE LICENSE
PA
Enumeration date
11/16/2005
Last updated
05/26/2011
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