Organization
STAFFTECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAWANZA JAJA MCCLAIN (OWNER)
(215) 490-4108
Entity
Organization
Contact information
Practice address
3524 WALLACE ST, PHILADELPHIA, PA 19104-1921
(215) 490-4108
Mailing address
3524 WALLACE ST, PHILADELPHIA, PA 19104-1921
(215) 490-4108
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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