Individual
BON HENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2317 S 7TH ST, PHILADELPHIA, PA 19148-3811
(267) 226-9099
Mailing address
2615 S 69TH ST, PHILADELPHIA, PA 19142-2111
(267) 226-9099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
42233601
PA
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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