Organization
FERTILITY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE J CARELLI PHARMD (OWNER)
(267) 969-0699
Entity
Organization
Contact information
Practice address
1411 S DARIEN ST, PHILADELPHIA, PA 19147-5726
(215) 208-8350
Mailing address
1411 S DARIEN ST, PHILADELPHIA, PA 19147-5726
(215) 208-8350
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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