Organization
MEDHEALTH COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN OUTLAW (OWNER)
(215) 680-9971
Entity
Organization
Contact information
Practice address
6504 ELMWOOD AVE STE 200, PHILADELPHIA, PA 19142-2817
(215) 680-9971
Mailing address
6504 ELMWOOD AVE STE 200, PHILADELPHIA, PA 19142-2817
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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