Organization
LUCY TENDER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCILLE MARIE JOHNSON C N A (MANGER)
(267) 304-7095
Entity
Organization
Contact information
Practice address
409 E PENN ST, PHILADELPHIA, PA 19144-5803
(267) 304-7095
Mailing address
409 E PENN ST, PHILADELPHIA, PA 19144-5803
(267) 304-7095
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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