Individual
LAWANDA CHAVOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 MERIBROOK RD, PHILA, PA 19151-2014
(484) 369-7690
Mailing address
1835 MERIBROOK RD, PHILA, PA 19151-2014
(484) 369-7690
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
60543601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834226305
—
PA
Enumeration date
10/19/2021
Last updated
10/19/2021
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