Organization
MARYJO HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIELA C MARTINEZ (ADMINISTRATOR)
(215) 667-1288
Entity
Organization
Contact information
Practice address
5010 COTTAGE ST, PHILADELPHIA, PA 19124-2110
(215) 667-1288
Mailing address
5010 COTTAGE ST, PHILADELPHIA, PA 19124-2110
(215) 667-1288
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21003601
PA
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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