Individual
MARVA T HAYES-PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5941 COBBS CREEK PKWY, PHILADELPHIA, PA 19143-3025
(267) 524-1922
Mailing address
5941 COBBS CREEK PKWY, PHILADELPHIA, PA 19143-3025
(267) 524-1922
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7160512
ENTITY NUMBER
PA
Enumeration date
11/20/2020
Last updated
11/20/2020
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