Organization
SISTAS OF VISION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE MULLINS (SUPPORTIVE CARE DIRECTOR)
(215) 921-5837
Entity
Organization
Contact information
Practice address
1750 N 25TH ST, PHILADELPHIA, PA 19121-2904
(215) 921-5837
Mailing address
1750 N 25TH ST, PHILADELPHIA, PA 19121-2904
(215) 921-5837
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
32E5D7B6F3634C0CB2BE
PA
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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