Individual
IVELISSE MARIE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-1933
(215) 470-0062
Mailing address
915 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-1933
(215) 470-0062
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-4587349
NON MEDICAL HOME CARE SERVICES
PA
Enumeration date
05/06/2019
Last updated
05/06/2019
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