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Organization
CLARITI CARE INC
Active
Organization
CLARITI CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEMOLA OWODUNNI MSW (PRESIDENT/CEO)
(215) 570-9661
Entity
Organization
Contact information
Practice address
1544 N 61ST ST, PHILADELPHIA, PA 19151-4220
(484) 632-5154
(215) 494-1099
Mailing address
12142 ASTER RD, PHILADELPHIA, PA 19154-1702
(484) 632-5154
(215) 494-1099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
PN303623
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103493349
—
PA
Enumeration date
07/11/2018
Last updated
07/11/2018
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