Individual
MS. JAMIRA ANTOINETTE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1137 S RUBY ST, PHILADELPHIA, PA 19143-4822
(267) 671-0218
Mailing address
1137 S RUBY ST, PHILADELPHIA, PA 19143-4822
(267) 671-0218
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
78113601
PA
376J00000X
Homemaker
78113601
PA
385H00000X
Respite Care
78113601
PA
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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