Organization
WABEN HOME CARE JAMES ST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER AWACKBEN (PRESIDENT)
(267) 343-8487
Entity
Organization
Contact information
Practice address
9601 JAMES ST, PHILADELPHIA, PA 19114-3017
(267) 343-8487
Mailing address
9601 JAMES ST, PHILADELPHIA, PA 19114-3017
(267) 343-8487
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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