Organization
MODERN HEALTH HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL BRAXTON (CHIEF EXECUTIVE OFFICER)
(267) 975-1572
Entity
Organization
Contact information
Practice address
242 N RAMSEY ST, PHILADELPHIA, PA 19139-1514
(267) 972-1572
Mailing address
PO BOX 9140, PHILADELPHIA, PA 19139-9140
(267) 975-1572
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
08/27/2020
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