Organization
MINOVA HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THUY PHAN (OWNER)
(267) 348-7950
Entity
Organization
Contact information
Practice address
4400 O ST, PHILADELPHIA, PA 19124-6108
(267) 348-7950
Mailing address
4400 O ST, PHILADELPHIA, PA 19124-6108
(267) 348-7950
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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