Organization
EXCEPTIONAL HEARTS HOME HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL CREAMER RN (OWNER)
(267) 269-0923
Entity
Organization
Contact information
Practice address
1500 JOHN F KENNEDY BLVD STE 420, PHILADELPHIA, PA 19102-1723
(215) 455-1123
Mailing address
1500 JOHN F KENNEDY BLVD STE 420, PHILADELPHIA, PA 19102-1723
(215) 455-1123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689091589
HOME CARE
PA
Enumeration date
03/28/2014
Last updated
04/16/2019
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