Organization
LIVE SPRING HEATHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINYEAKA NWOKO (ADMINISTRATOR)
(347) 249-2499
Entity
Organization
Contact information
Practice address
704 KENILWORTH AVE, PHILADELPHIA, PA 19126-3715
(347) 249-2499
Mailing address
704 KENILWORTH AVE, PHILADELPHIA, PA 19126-3715
(347) 249-2499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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