Organization
IMMEDIATE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARI WILLIS (AUTHORIZED OFFICIAL)
(216) 970-1189
Entity
Organization
Contact information
Practice address
3901 MARKET ST STE 4B, PHILADELPHIA, PA 19104-3133
(215) 638-2223
Mailing address
3901 MARKET ST STE 4B, PHILADELPHIA, PA 19104-3133
(215) 638-2223
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
765005
PA
Other
Enumeration date
08/09/2005
Last updated
08/14/2024
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