Organization
JAVINNIS ANGLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELDOY JACKSON (OWNER)
(267) 658-9971
Entity
Organization
Contact information
Practice address
1667 N ALLISON ST, PHILADELPHIA, PA 19131-3530
(267) 658-9971
Mailing address
1667 N ALLISON ST, PHILADELPHIA, PA 19131-3530
(267) 658-9971
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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