Organization
HOUSE OF LIFE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTISHA HOLDEN (OWNER)
(305) 450-2770
Entity
Organization
Contact information
Practice address
7901 ROOSEVELT BLVD APT 45, PHILADELPHIA, PA 19152-3446
(305) 450-2770
Mailing address
7901 ROOSEVELT BLVD APT 45, PHILADELPHIA, PA 19152-3446
(305) 450-2770
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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