Individual
DE'JA QUAHIRA HAROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1917 E BIRCH ST, PHILADELPHIA, PA 19134-3517
(267) 235-1246
Mailing address
7600 STENTON AVE APT 7J, PHILADELPHIA, PA 19118-3229
(267) 235-1246
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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