Organization
CONFIDENTLY COVERED HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADERAH ENSLEY MA (CEO)
(484) 450-6607
Entity
Organization
Contact information
Practice address
1720 S YEWDALL ST, PHILADELPHIA, PA 19143-5430
(267) 407-3215
Mailing address
1720 S YEWDALL ST, PHILADELPHIA, PA 19143-5430
(215) 500-6711
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
11/06/2020
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