Organization
CHARISMATIC HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAAIYAH TURNER (CHIEF EXECUTIVE OFFICER)
(484) 368-4840
Entity
Organization
Contact information
Practice address
2219 DICKINSON ST, PHILADELPHIA, PA 19146-4204
(302) 480-4006
Mailing address
2219 DICKINSON ST, PHILADELPHIA, PA 19146-4204
(484) 368-4840
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57713601
—
PA
Enumeration date
08/30/2021
Last updated
08/30/2021
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