Organization
JAVA HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAANA ASHONG (SHAREHOLDER)
(215) 921-3043
Entity
Organization
Contact information
Practice address
6544 WOODLAND AVE, 1ST FLR, PHILADELPHIA, PA 19142-2215
(215) 921-3043
Mailing address
6544 WOODLAND AVE, 1ST FLR, PHILADELPHIA, PA 19142-2215
(215) 921-3043
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
31833601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31833601
—
PA
Enumeration date
11/21/2016
Last updated
11/21/2016
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