Individual
KHALIMAH DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOMECARE AGENCY
Contact information
Practice address
6118 PINE ST, PHILADELPHIA, PA 19143-1010
(215) 317-5002
Mailing address
6118 PINE ST, PHILADELPHIA, PA 19143-1010
(215) 317-5002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
39873601
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39873601
PA DEPARTMENT OF HEALTH
PA
01
—
39873601
PA DEPARTMENT OF HEALTH
—
Enumeration date
02/15/2019
Last updated
02/15/2019
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