Individual
ANGELA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 PRESIDENTIAL BLVD, 1918, PHILADELPHIA, PA 19131-1727
(215) 385-2347
Mailing address
4040 PRESIDENTIAL BLVD, 1918, PHILADELPHIA, PA 19131-1727
(215) 385-2347
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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