Organization
L.U.C.H.H.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA WALLER (OWNER)
(267) 474-3314
Entity
Organization
Contact information
Practice address
2052 S 57TH ST, PHILADELPHIA, PA 19143-5616
(267) 474-3314
Mailing address
2052 S 57TH ST, PHILADELPHIA, PA 19143-5616
(267) 474-3314
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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