Organization
EXTENDED FAMILY HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRISHA TENNER (VP/OWNER/ALT ADMINISTRATOR)
(267) 977-0815
Entity
Organization
Contact information
Practice address
3226 COTTMAN AVE, PHILADELPHIA, PA 19149-1511
(267) 574-3448
Mailing address
3226 COTTMAN AVE, PHILADELPHIA, PA 19149-1511
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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