Organization
NISSI INTEGRATED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNSON O OYELAMI (CEO)
(610) 905-0962
Entity
Organization
Contact information
Practice address
621 CHESTER PIKE, PROSPECT PARK, PA 19076-1506
(610) 905-4106
Mailing address
25 KING AVE, FOLCROFT, PA 19032-1023
(610) 905-0962
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/13/2025
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