Individual
IANIE PHILLIPA SYLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9101 W CHESTER PIKE, UPPER DARBY, PA 19082-1108
(215) 528-7541
Mailing address
9101 W CHESTER PIKE, UPPER DARBY, PA 19082-1108
(215) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
42873601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42873601
PA DEPARTMENT OF HEALTH
PA
Enumeration date
12/30/2019
Last updated
12/30/2019
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