Organization
GARDENS OF LIFE HOME HEALTH CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSHIA ROSE (PRESIDEDNT)
(215) 506-6461
Entity
Organization
Contact information
Practice address
155 E GODFREY AVE APT G303, PHILADELPHIA, PA 19120-4741
(215) 506-6461
Mailing address
155 E GODFREY AVE APT G303, PHILADELPHIA, PA 19120-4741
(215) 506-6461
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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