Individual
LAKISHA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7031 ANDREWS AVE, PHILADELPHIA, PA 19138-2109
(267) 979-1890
Mailing address
7031 ANDREWS AVE, PHILADELPHIA, PA 19138-2109
(267) 979-1890
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
66983601
PA
376J00000X
Homemaker
66983601
PA
385H00000X
Respite Care
66983601
PA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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