Organization
CROSS RIVERS, LLC
Active
Other names
Cross Rivers, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
CHUKWUEMEKA IGWE LAWYER (PRESIDENT)
(215) 398-5564
Entity
Organization
Contact information
Practice address
1500 JFK BLVD STE 1900, PHILADELPHIA, PA 19102-1714
(215) 398-5564
Mailing address
1500 JFK BLVD STE 1900, PHILADELPHIA, PA 19102-1714
(215) 398-5564
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034698440001
—
PA
Enumeration date
03/11/2019
Last updated
04/09/2020
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