Organization
STAYLIVINGWELL HOMECARE
Active
Parent organization
-
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
MS. LISA LEARY (PRESIDENT)
(267) 252-6369
Entity
Organization
Contact information
Practice address
610 OLD YORK ROAD, SUITE 400, JENKINTOWN, PA 19046
(215) 866-7112
Mailing address
610 OLD YORK ROAD, SUITE 400, JENKINTOWN, PA 19046
(215) 866-7112
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103889259-0001
—
PA
Enumeration date
03/14/2022
Last updated
03/14/2022
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