Organization
FRESH LIFE HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITABEN PATEL (PRESIDENT)
(215) 834-7294
Entity
Organization
Contact information
Practice address
2202 HOFFNAGLE ST FL 1, PHILADELPHIA, PA 19152-2512
(215) 834-7294
Mailing address
2202 HOFFNAGLE ST FL 1, PHILADELPHIA, PA 19152-2512
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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