Organization
CISCO HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARTHURLINE TUCKER CISCO (DIRECTOR)
(267) 385-1512
Entity
Organization
Contact information
Practice address
435 BEVERLY BLVD, UPPER DARBY, PA 19082-3714
(267) 385-1512
Mailing address
435 BEVERLY BLVD, UPPER DARBY, PA 19082-3714
(267) 385-1512
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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