Organization
FONDAY SENIORCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MFON NENE ADEDOYIN RN (ADMINISTRATOR)
(610) 252-7471
Entity
Organization
Contact information
Practice address
2906 WILLIAM PENN HWY, SUITE 211B, EASTON, PA 18045-5256
(610) 252-7471
(610) 438-2649
Mailing address
2906 WILLIAM PENN HWY, SUITE 211B, EASTON, PA 18045-5256
(610) 252-7471
(610) 438-2649
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
20933601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102598391 0001
—
PA
Enumeration date
08/05/2011
Last updated
08/05/2011
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