Individual
KADIAN ATHEA PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9444 KIRKWOOD RD # 1, PHILADELPHIA, PA 19114-2606
(267) 536-6183
Mailing address
2924 N 19TH ST, PHILADELPHIA, PA 19132-2112
(267) 536-6183
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
44263601
PA
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/21/2019
Last updated
06/13/2021
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