Individual
ELEASE GINDRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1247 ORTHODOX ST, PHILADELPHIA, PA 19124-3132
(215) 668-5889
Mailing address
1247 ORTHODOX ST, PHILADELPHIA, PA 19124-3132
(215) 668-5889
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
68283601
PA
376J00000X
Homemaker
68283601
PA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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