Organization
ETANA CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AYANNA HICKSON (OWNER)
(215) 280-3985
Entity
Organization
Contact information
Practice address
438 N 64TH ST FRNT, PHILADELPHIA, PA 19151-4038
(215) 280-3985
(445) 999-5388
Mailing address
6022 LINDBERGH BLVD, PHILADELPHIA, PA 19142-3428
(215) 280-3985
(445) 999-5388
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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