Organization
PINE TREE HEALTH
Active
Parent organization
PINE TREE HEALTH
Other names
Pine Tree Health Renal care Partners
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINE TREE HEALTH
Authorized official
BADR WAHEED RN (CO-FOUNDER)
(267) 971-6128
Entity
Organization
Contact information
Practice address
6501 N 13TH ST, PHILADELPHIA, PA 19126-3604
(267) 971-6128
Mailing address
6501 N 13TH ST, PHILADELPHIA, PA 19126-3604
(267) 971-6128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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