Individual
CARMEN S FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 AKRON ST, PHILADELPHIA, PA 19149-2924
(877) 425-6215
(215) 395-6489
Mailing address
6401 AKRON ST, PHILADELPHIA, PA 19149-2924
(877) 425-6215
(215) 395-6489
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
787144
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1692446
CEO
PA
Enumeration date
12/01/2018
Last updated
12/01/2018
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