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Organization

HOME SIDE COMPANION CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANIKA KENNEDY (CEO)
(267) 796-0056
Entity
Organization

Contact information

Practice address
1029 W RUSCOMB ST, PHILADELPHIA, PA 19141-3909
(267) 515-2644
Mailing address
1029 W RUSCOMB ST, PHILADELPHIA, PA 19141-3909
(267) 515-2644

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
12/18/2025
Last updated
12/18/2025
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