Organization
IMPACTING LIVES & COMMUNITIES HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYSHA THOMPSON (PRESIDENT)
(215) 990-6200
Entity
Organization
Contact information
Practice address
601 SHADELAND AVE, DREXEL HILL, PA 19026
(215) 990-6200
Mailing address
1005 PONTIAC RD # 456, DREXEL HILL, PA 19026-4816
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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