Organization
PHILADELPHIA LANCER ALLIANCE
Active
Other names
Acti-Kare Responsive In-Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAWANZA NYAHUMA (DIRECTOR)
(215) 669-2154
Entity
Organization
Contact information
Practice address
1235 65TH AVE APT B, PHILADELPHIA, PA 19126-3608
(215) 669-2154
(215) 521-1502
Mailing address
512 MONROE ST, BROOKLYN, NY 11221-1705
(215) 669-2154
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/22/2023
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