Organization
TANYA'S HOME HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE BUSSEY (CERTIFIED NURSING ASSISTANT)
(215) 397-0227
Entity
Organization
Contact information
Practice address
2331 WATKINS ST, PHILADELPHIA, PA 19145-1828
(215) 397-0227
Mailing address
2331 WATKINS ST, PHILADELPHIA, PA 19145
(215) 397-0227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/16/2013
Last updated
01/23/2014
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