Organization
JELIEL SKILLED NURSING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIE JUNIOR LOUIS-BENJAMIN (OWNER)
(610) 333-3322
Entity
Organization
Contact information
Practice address
333 POPLAR ST, PHILADELPHIA, PA 19123-2227
(610) 333-3322
Mailing address
1800 ASHBOURNE RD, UNIT 26722, ELKINS PARK, PA 19027-2595
(610) 333-3322
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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