Organization
IVEY LEAP HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON IVEY (PRESIDENT)
(267) 683-0005
Entity
Organization
Contact information
Practice address
1201 JACKSON ST UNIT 443, PHILADELPHIA, PA 19148-2949
(267) 683-0005
Mailing address
1201 JACKSON ST UNIT 443, PHILADELPHIA, PA 19148-2949
(267) 683-0005
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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