Organization
JIREH NURSING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLETTE C. GRANT (OWNER / DIRECTOR)
(215) 659-1097
Entity
Organization
Contact information
Practice address
359 YORK RD, WILLOW GROVE, PA 19090-2621
(215) 659-1097
(215) 659-1097
Mailing address
359 YORK RD, WILLOW GROVE, PA 19090-2621
(215) 659-1097
(215) 659-1097
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10-16-343
PA
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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