Individual
TRACEY BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 N CREIGHTON ST, PHILADELPHIA, PA 19139-1505
(267) 581-3188
Mailing address
245 N CREIGHTON ST, PHILADELPHIA, PA 19139-1505
(267) 581-3188
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
77283601
PA
372500000X
Chore Provider
77283601
PA
372600000X
Adult Companion
77283601
PA
374U00000X
Home Health Aide
Primary
77283601
PA
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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