Organization
GREATER LOVE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGIE WALLACE (CEO)
(484) 433-8208
Entity
Organization
Contact information
Practice address
145 W OSTEND ST, BALTIMORE, MD 21230-3764
(240) 898-5349
Mailing address
8600 W CHESTER PIKE STE 308, UPPER DARBY, PA 19082-2629
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030583390002
—
PA
Enumeration date
07/15/2020
Last updated
07/15/2020
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