# SPRING OF LIFE HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spring of Life Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841754108
- **Authorized official:** SYREETA GILLIAM (OWNER)
- **Authorized official phone:** (215) 251-3761

## Contact information

- **Practice address:** 4042 LANCASTER AVE, PHILA, PA 19104-1712
- **Practice address phone:** (215) 251-3761
- **Practice address fax:** (267) 787-5394
- **Mailing address:** 4042 LANCASTER AVE, PHILA, PA 19104-1712
- **Mailing address phone:** (215) 251-3761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2019
- **Last updated:** 03/07/2024