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Individual

ENI LILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2309 E HUNTINGDON ST, PHILADELPHIA, PA 19125-2312
(267) 748-7582
Mailing address
2309 E HUNTINGDON ST, PHILADELPHIA, PA 19125-2312
(267) 748-7582

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
68663601
PA
376J00000X
Homemaker
68663601
PA
385H00000X
Respite Care
68663601
PA

Other

Enumeration date
11/15/2022
Last updated
11/15/2022
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