Organization
WHITE LILY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE TONDALAYA CLACK LPN, BA (PRESIDENT/ADMINISTRATOR)
(215) 874-7444
Entity
Organization
Contact information
Practice address
4915 WYNNEFIELD AVENUE, 1AF, WYNNEFIELD HEIGHTS, PA 19131
(215) 874-7444
Mailing address
4915 WYNNEFIELD AVENUE, 1AF, WYNNEFIELD HEIGHTS, PA 19131
(215) 874-7444
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
30513601
PA
Other
Enumeration date
07/20/2016
Last updated
10/15/2019
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