Organization
SWEET HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEKIA EZELL (PRESIDENT/CEO)
(215) 739-1400
Entity
Organization
Contact information
Practice address
426 E ALLEGHENY AVE, UNIT 1 W, PHILADELPHIA, PA 19134-2338
(215) 739-1400
(215) 739-1414
Mailing address
426 E ALLEGHENY AVE, UNIT 1 W, PHILADELPHIA, PA 19134-2338
(215) 739-1400
(215) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
05060501
PA
163WH0200X
Home Health Registered Nurse
05060501
PA
164W00000X
Licensed Practical Nurse
05060501
PA
251E00000X
Home Health Agency
Primary
—
PA
Other
Enumeration date
07/26/2013
Last updated
10/17/2016
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