Organization
BELOVED HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNEY RIVERA (MANAGER)
(267) 629-0221
Entity
Organization
Contact information
Practice address
323 E CORNWALL ST, PHILADELPHIA, PA 19134-1607
(267) 629-0221
Mailing address
323 E CORNWALL ST, PHILADELPHIA, PA 19134-1607
(267) 629-0221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
736664
PA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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