Organization
IMPERIAL FAMILY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CCLANUS TENNESSEE (OWNER)
(267) 444-1397
Entity
Organization
Contact information
Practice address
5518 UPLAND ST, PHILADELPHIA, PA 19143-5624
(267) 444-1397
Mailing address
5518 UPLAND ST, PHILADELPHIA, PA 19143-5624
(267) 444-1397
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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