Organization
LIVE LIFE TO THE MAX HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUIANA MONTGOMERY (OWNER)
(215) 834-7087
Entity
Organization
Contact information
Practice address
7905 RUGBY ST, PHILADELPHIA, PA 19150-2511
(215) 834-7087
Mailing address
7905 RUGBY ST, PHILADELPHIA, PA 19150-2511
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51743601
HOME HEALTH LICENSE NUMBER
PA
Enumeration date
02/12/2024
Last updated
02/12/2024
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