Organization
AT HOME REHAB, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER ANN GUGLIELMI M.S.P.T. (CEO)
(267) 241-4010
Entity
Organization
Contact information
Practice address
542 STREET RD, SOUTHAMPTON, PA 18966-3747
(215) 230-4140
(215) 230-4970
Mailing address
542 STREET RD, SOUTHAMPTON, PA 18966-3747
(215) 230-4140
(215) 230-4970
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
77860501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77860501
LICENSE NUMBER
PA
Enumeration date
06/12/2005
Last updated
06/17/2016
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