Organization
MAPLE LEAF HOME CARE SERVICES LLC
Active
Other names
Maple Leaf Home Care Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL MARRERO (CEO)
(267) 388-7434
Entity
Organization
Contact information
Practice address
6339 ALGON AVE, PHILADELPHIA, PA 19111-5802
(267) 815-8544
Mailing address
6339 ALGON AVE, PHILADELPHIA, PA 19111-5802
(267) 815-8544
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3864
—
PA
Enumeration date
06/05/2019
Last updated
06/20/2019
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