Organization
EMMA GEORGIA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE DANGERFIELD (PRESIDENT)
(267) 924-4530
Entity
Organization
Contact information
Practice address
3400 RED LION RD APT 2C, PHILADELPHIA, PA 19114-1309
(267) 924-4530
Mailing address
3400 RED LION RD APT 2C, PHILADELPHIA, PA 19114-1309
(267) 924-4530
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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