Individual
CHENEE WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1742 LIBERTY RD, WOODLYN, PA 19094-1433
(148) 448-5002
Mailing address
1742 LIBERTY RD, WOODLYN, PA 19094-1433
(148) 448-5002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
64443601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104054719-0001
—
PA
Enumeration date
11/15/2022
Last updated
11/15/2022
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