Individual
TANETTA POLES/ATTAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5504 WESTFORD RD, PHILADELPHIA, PA 19120-2642
(610) 209-2731
(610) 314-0960
Mailing address
5504 WESTFORD RD, PHILADELPHIA, PA 19120-2642
(610) 209-2731
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
95627982
PA
374U00000X
Home Health Aide
—
PA
Other
Enumeration date
08/10/2015
Last updated
03/16/2016
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