Organization
MY INDEPENDENCE AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONDA MARIE WINFIELD (CHIEF OPERATING OFFICER)
(215) 480-0826
Entity
Organization
Contact information
Practice address
5398 WYNNEFIELD AVE, SUITE 201, PHILADELPHIA, PA 19131-2344
(215) 921-2277
Mailing address
5398 WYNNEFIELD AVE, SUITE 201, PHILADELPHIA, PA 19131-2344
(215) 921-2277
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
11/21/2013
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