Organization
GENERAL HEATHCARE RESOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HAVENS JENIEL LATISHA (CHEMOTHERAPY IV SPECIALIST)
(267) 237-6661
Entity
Organization
Contact information
Practice address
5014 MARKET ST, PHILADELPHIA, PA 19139-3504
(215) 471-5856
Mailing address
5014 MARKET ST, PHILADELPHIA, PA 19139-3504
(215) 471-5856
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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