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Organization

ACCESSIBLE COMMUNITY HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TALIAH S TIDWELL OTD (CEO)
(215) 520-6325
Entity
Organization

Contact information

Practice address
508 E BRINTON ST # 3, PHILADELPHIA, PA 19144-1063
(215) 520-6325
Mailing address
508 E BRINTON ST # 3, PHILADELPHIA, PA 19144-1063
(215) 520-6325

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103843189-0001
PA
Enumeration date
08/13/2021
Last updated
08/13/2021
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