Organization
IN HOME PROGRAM
Active
Parent organization
MARS INC
Other names
Journeys Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARS INC
Authorized official
CHRISTINA VISCO RN (ADMINISTRATOR)
(215) 232-4357
Entity
Organization
Contact information
Practice address
739 N 24TH ST, PHILADELPHIA, PA 19130-2539
(215) 232-4357
Mailing address
739 N 24TH ST, PHILADELPHIA, PA 19130-2539
(215) 232-4357
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
397588
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001463956002
—
PA
Enumeration date
05/26/2009
Last updated
05/26/2009
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