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Individual

ENDYE RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
208 N MAPLE AVE, LANSDOWNE, PA 19050-1609
(610) 931-0361
Mailing address
208 N MAPLE AVE, LANSDOWNE, PA 19050-1609
(610) 931-0361

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82-4567121
PA
Enumeration date
04/06/2018
Last updated
04/06/2018
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