Organization
A-1 CARE COORDINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY OLUMUYIWA OMOJOKUN (DIRECTOR)
(678) 462-9485
Entity
Organization
Contact information
Practice address
527B ASHLAND AVE, FOLCROFT, PA 19032-1204
(678) 462-9485
Mailing address
27 SOUTH 5TH STREET, DARBY PA 19023, DARBY, PA 19023-1204
(678) 462-9485
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831417668
—
PA
Enumeration date
10/23/2018
Last updated
10/30/2018
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