Organization
INNOVATIVE HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOMO COLE (OWNER/ADMINISTRATOR)
(267) 227-7730
Entity
Organization
Contact information
Practice address
289 WESTBROOK DR, CLIFTON HEIGHTS, PA 19018-1118
(267) 227-7730
Mailing address
289 WESTBROOK DR, CLIFTON HEIGHTS, PA 19018-1118
(267) 227-7730
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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