Organization
BLESSINGS OF MY ANCESTORS B.O.M.A. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEASE GINDRAW (CEO)
(215) 668-5889
Entity
Organization
Contact information
Practice address
1247 ORTHODOX ST, PHILADELPHIA, PA 19124-3132
(215) 668-5889
Mailing address
1247 ORTHODOX ST, PHILADELPHIA, PA 19124-3132
(215) 668-5889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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