Organization
COHESION FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMELA SHABREE COOK (CHIEF EXECUTIVE OFFICER)
(267) 701-5868
Entity
Organization
Contact information
Practice address
5908 OSAGE AVE, PHILADELPHIA, PA 19143-1120
(267) 701-5868
Mailing address
5908 OSAGE AVE, PHILADELPHIA, PA 19143-1120
(267) 701-5868
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/19/2015
Last updated
05/21/2015
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