Organization
LEAP WITH FAITH HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKISSI OUSSOU (CEO)
(347) 430-0640
Entity
Organization
Contact information
Practice address
5224 WESTFORD RD, PHILADELPHIA, PA 19120-3619
(347) 430-0640
Mailing address
5224 WESTFORD RD, PHILADELPHIA, PA 19120-3619
(347) 430-0640
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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