Organization
COMPLIMENTARY HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY SHEPHARD (DIRECTOR)
(215) 545-1785
Entity
Organization
Contact information
Practice address
8355 LORETTO AVE, PHILADELPHIA, PA 19152-1830
(215) 742-7033
Mailing address
107 NAUDAIN ST, PHILADELPHIA, PA 19147-2406
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
—
Enumeration date
06/20/2007
Last updated
08/22/2020
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