Organization
GREATER ETHEYLN HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASEEM STARKEY LPN (CEO)
(215) 476-7550
Entity
Organization
Contact information
Practice address
644 S YEWDALL ST, PHILADELPHIA, PA 19143-2522
(215) 608-9443
Mailing address
644 S YEWDALL ST, PHILADELPHIA, PA 19143-2522
(215) 608-9443
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
08/21/2024
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