Organization
NURTURING FOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR MCMICKENS III (PRESIDENT/ADMINISTRATOR)
(267) 319-5062
Entity
Organization
Contact information
Practice address
6735 N SYDENHAM ST, PHILADELPHIA, PA 19126
(267) 319-5062
Mailing address
6735 N SYDENHAM ST, PHILADELPHIA, PA 19126
(267) 319-5062
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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