Organization
LIFTED SPIRIT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRIN MCMILLAN (PRESIDENT)
(215) 827-6418
Entity
Organization
Contact information
Practice address
127 N PAXON ST, PHILADELPHIA, PA 19139-2706
(484) 483-5207
Mailing address
127 N PAXON ST, PHILADELPHIA, PA 19139-2706
(484) 483-5207
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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