Organization
SUPERIOR NURSING HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BLYDEN (CEO)
(215) 618-3842
Entity
Organization
Contact information
Practice address
5105 BALTIMORE AVE FL 2, PHILADELPHIA, PA 19143-2613
(215) 618-3842
Mailing address
5105 BALTIMORE AVE FL 2, PHILADELPHIA, PA 19143-2613
(215) 618-3842
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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