Organization
VISITING NURSE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARMELO PENA GUADITE RN, BSN (ADMINISTRATOR)
(215) 829-8888
Entity
Organization
Contact information
Practice address
128 W GIRARD AVE, PHILADELPHIA, PA 19123-1622
(215) 829-8888
(215) 829-8875
Mailing address
128 W GIRARD AVE, PHILADELPHIA, PA 19123-1622
(215) 829-8888
(215) 829-8875
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
764605
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006767840004
—
PA
Enumeration date
07/07/2005
Last updated
08/22/2020
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