Organization
NAYAZ VARIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE TILLMAN (OWNER)
(215) 668-6221
Entity
Organization
Contact information
Practice address
439 BAEDER RD, JENKINTOWN, PA 19046-2253
(215) 668-6221
Mailing address
439 BAEDER RD, JENKINTOWN, PA 19046-2253
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
302F00000X
Exclusive Provider Organization
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332U00000X
Home Delivered Meals
—
—
335G00000X
Medical Foods Supplier
—
—
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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