Organization
STIMPAK WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW HEISLER LPN (SOLE PROPRIETOR)
(267) 897-5117
Entity
Organization
Contact information
Practice address
1108 BRANDYWINE ST, PHILADELPHIA, PA 19123-3312
(267) 897-5117
Mailing address
1108 BRANDYWINE ST, PHILADELPHIA, PA 19123-3312
(267) 897-5117
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PN289203
PA
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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