Organization
ASPEN INFINITE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA OWENS (PRESIDENT)
(267) 977-7557
Entity
Organization
Contact information
Practice address
1724 N 19TH ST, PHILADELPHIA, PA 19121-3104
(267) 977-7557
Mailing address
1724 N 19TH ST, PHILADELPHIA, PA 19121-3104
(267) 977-7557
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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