Organization
ILLUMINATING HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNIYRA MUHAMMAD (PRESIDENT)
(215) 400-0720
Entity
Organization
Contact information
Practice address
2204 W VENANGO ST, PHILADELPHIA, PA 19140-3823
(215) 400-0720
Mailing address
2204 W VENANGO ST, PHILADELPHIA, PA 19140-3823
(215) 400-0720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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