Individual
DANTE OAKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ADMIN HS
Contact information
Practice address
241 E CLIVEDEN ST, PHILADELPHIA, PA 19119-2313
(215) 678-0072
Mailing address
241 E CLIVEDEN ST, PHILADELPHIA, PA 19119-2313
(215) 678-0072
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103888260-0001
—
PA
Enumeration date
12/23/2021
Last updated
12/23/2021
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