Organization
MARY HEALTHCARE SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAM TIRATH (PRESIDENT)
(484) 598-3158
Entity
Organization
Contact information
Practice address
21 S CEDAR LN, UPPER DARBY, PA 19082-2816
(484) 598-3158
Mailing address
21 S CEDAR LN, UPPER DARBY, PA 19082-2816
(484) 598-3158
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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