Organization
CREDENCE HOME CARE AGENCY, INC
Active
Other names
Credence Home Care Agency Inc, Credence Eldercare Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAJETAN ONUOHA (ADMINISTRATOR)
(215) 764-5529
Entity
Organization
Contact information
Practice address
1415 N BROAD ST STE 118, PHILADELPHIA, PA 19122-3324
(215) 764-5529
(215) 825-8406
Mailing address
1415 N BROAD ST STE 118, PHILADELPHIA, PA 19122-3324
(215) 764-5529
(215) 825-8406
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
31213601
PA
261QA0600X
Adult Day Care Clinic/Center
315964
PA
374U00000X
Home Health Aide
31213601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102499867
—
PA
Enumeration date
01/05/2010
Last updated
06/16/2018
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