Organization
THE DOEDEGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEQUYAH HAWKINS (MANAGER)
(267) 595-4059
Entity
Organization
Contact information
Practice address
1729 N 29TH ST, PHILADELPHIA, PA 19121-2718
(267) 595-4059
Mailing address
1729 N 29TH ST, PHILADELPHIA, PA 19121-2718
(267) 595-4059
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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